Provider Demographics
NPI:1316516644
Name:WESTFIELD, PRISCILLA BETH (LPC)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:BETH
Last Name:WESTFIELD
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 AWTRY ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-2024
Mailing Address - Country:US
Mailing Address - Phone:901-205-9787
Mailing Address - Fax:888-375-0634
Practice Address - Street 1:2411 AWTRY ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-2024
Practice Address - Country:US
Practice Address - Phone:901-205-9787
Practice Address - Fax:888-375-0634
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291755101YM0800X
GALPC01365101YM0800X
AK171094101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty