Provider Demographics
NPI:1316678691
Name:YOUNGS, ANNA DOWNER
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:DOWNER
Last Name:YOUNGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-2119
Mailing Address - Country:US
Mailing Address - Phone:423-529-0628
Mailing Address - Fax:
Practice Address - Street 1:5726 MARLIN RD STE 315
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5668
Practice Address - Country:US
Practice Address - Phone:423-529-0628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health