Provider Demographics
NPI:1407367063
Name:CUSHING, ANNE (PHD, NCC, LPC)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:CUSHING
Suffix:
Gender:F
Credentials:PHD, NCC, LPC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:PATERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2927 OZARK RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-5909
Mailing Address - Country:US
Mailing Address - Phone:706-866-9390
Mailing Address - Fax:
Practice Address - Street 1:2927 OZARK RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-5909
Practice Address - Country:US
Practice Address - Phone:423-667-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health