Provider Demographics
NPI:1396408902
Name:MERRITT, CAITLIN MOORE (LPC/MHSP, MED, NCC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MOORE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:LPC/MHSP, MED, NCC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:AMANDA
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:275 CUMBERLAND BND
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 N HOLTZCLAW AVE
Practice Address - Street 2:STE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404
Practice Address - Country:US
Practice Address - Phone:866-816-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5757101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional