Provider Demographics
NPI:1164696571
Name:THE MARRIAGE CONSULTANT, INC.
Entity Type:Organization
Organization Name:THE MARRIAGE CONSULTANT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:423-827-3535
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37350-0116
Mailing Address - Country:US
Mailing Address - Phone:423-827-3535
Mailing Address - Fax:
Practice Address - Street 1:3085 BROAD ST
Practice Address - Street 2:SUITE E
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-3084
Practice Address - Country:US
Practice Address - Phone:423-827-3535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty