Provider Demographics
NPI:1962076083
Name:THE PURSUIT OF HAPPINESS FOR UNDERSERVED AND UNDER-RESOURCED YOUTH
Entity type:Organization
Organization Name:THE PURSUIT OF HAPPINESS FOR UNDERSERVED AND UNDER-RESOURCED YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DONNEUSS
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:423-355-1646
Mailing Address - Street 1:4001 ROSSVILLE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37407-2546
Mailing Address - Country:US
Mailing Address - Phone:423-414-2230
Mailing Address - Fax:
Practice Address - Street 1:4001 ROSSVILLE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37407-2546
Practice Address - Country:US
Practice Address - Phone:423-414-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty