Provider Demographics
NPI:1215384664
Name:GRADY STINNETT, PATRICIA A (MS)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:GRADY STINNETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:GRADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:7030 LEE HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6795
Mailing Address - Country:US
Mailing Address - Phone:423-716-6180
Mailing Address - Fax:
Practice Address - Street 1:7030 LEE HWY STE 102
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6795
Practice Address - Country:US
Practice Address - Phone:423-716-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1396106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health