Provider Demographics
NPI:1932820891
Name:SCENIC CITY COUNSELING COLLECTIVE PLLC
Entity type:Organization
Organization Name:SCENIC CITY COUNSELING COLLECTIVE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LARMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:423-403-4393
Mailing Address - Street 1:100 CHEROKEE BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3881
Mailing Address - Country:US
Mailing Address - Phone:423-403-4393
Mailing Address - Fax:888-892-4390
Practice Address - Street 1:100 CHEROKEE BLVD STE 307
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3881
Practice Address - Country:US
Practice Address - Phone:423-403-4393
Practice Address - Fax:888-892-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty