PATRICIA PROCTOR M.ED. LPC-MHSP NPI 1255461059

NPI Information

NPI: 1255461059
Provider Name: PATRICIA PROCTOR, M.ED., LPC-MHSP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6055 SHALLOWFORD RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 266-6751
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Patricia Proctor, M.ED., LPC-MHSP is a professional counselor in Chattanooga, TN. Patricia Proctor, M.ED., LPC-MHSP NPI is 1255461059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6055 SHALLOWFORD RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 266-6751
Fax: (423) 763-4657

The enumeration date for this NPI number is 3/7/2007 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	02546	TENNESSEE	No
2	101YP2500X	Counselor	Professional	2546	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2546	OTHER	TENNESSEE	LPC-MHSP
2	Q005434	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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