Provider Demographics
NPI:1063636785
Name:STONEY, CAROL BURNS (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:BURNS
Last Name:STONEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:KUTCHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3085 SOUTH BROAD ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408
Mailing Address - Country:US
Mailing Address - Phone:423-827-3535
Mailing Address - Fax:
Practice Address - Street 1:3085 SOUTH BROAD ST
Practice Address - Street 2:SUITE J
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408
Practice Address - Country:US
Practice Address - Phone:423-827-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional