Provider Demographics
NPI:1326629148
Name:FARADAY CHATTANOOGA PC
Entity Type:Organization
Organization Name:FARADAY CHATTANOOGA PC
Other - Org Name:FARADAY HEALTH - CHATTANOOGA, TN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LORING
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-290-5490
Mailing Address - Street 1:6031 SHALLOWFORD RD STE 113
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1984
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1612 WESTGATE CIR STE 215
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8078
Practice Address - Country:US
Practice Address - Phone:423-825-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARADAY CHATTANOOGA PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-15
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty