Provider Demographics
NPI:1083419790
Name:LINDSEY, TANYA (LCSW)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 BRENTLY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4455
Mailing Address - Country:US
Mailing Address - Phone:423-255-8188
Mailing Address - Fax:
Practice Address - Street 1:237 BRENTLY WOODS DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4455
Practice Address - Country:US
Practice Address - Phone:423-255-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN85671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical