Provider Demographics
NPI:1427786516
Name:CARPENTER, SYLVIA GRACE (MA, NCC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:GRACE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902A GARNETT AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3014
Mailing Address - Country:US
Mailing Address - Phone:205-907-3568
Mailing Address - Fax:
Practice Address - Street 1:3069 BROAD ST STE 7D
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-3083
Practice Address - Country:US
Practice Address - Phone:423-517-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health