Provider Demographics
NPI:1467094235
Name:BILLINGY, JANELLE NATASHA (LCSW)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:NATASHA
Last Name:BILLINGY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JEIGH
Other - Middle Name:
Other - Last Name:BILLINGY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2288 GUNBARREL RD STE 154165
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2609
Mailing Address - Country:US
Mailing Address - Phone:423-521-1978
Mailing Address - Fax:
Practice Address - Street 1:2288 GUNBARREL RD STE 154165
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2609
Practice Address - Country:US
Practice Address - Phone:423-521-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN69281041C0700X, 101YM0800X
GACSW006613101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health