Provider Demographics
NPI:1073534699
Name:PHILPOTT, JAMES L (THD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:PHILPOTT
Suffix:
Gender:M
Credentials:THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GEORGIA AVE
Mailing Address - Street 2:SUITE 5 - HARDWICK/HOGSHEAD BUILDING
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1407
Mailing Address - Country:US
Mailing Address - Phone:423-266-6253
Mailing Address - Fax:423-266-6257
Practice Address - Street 1:600 GEORGIA AVE
Practice Address - Street 2:SUITE 5 - HARDWICK/HOGSHEAD BUILDING
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1407
Practice Address - Country:US
Practice Address - Phone:423-266-6253
Practice Address - Fax:423-266-6257
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18101YP1600X
TN275106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist