Provider Demographics
NPI:1467466318
Name:HURAYT, ROSEMARY ANNE (ACSW,LCSW)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ANNE
Last Name:HURAYT
Suffix:
Gender:F
Credentials:ACSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MARKET ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1226
Mailing Address - Country:US
Mailing Address - Phone:423-778-9451
Mailing Address - Fax:423-778-9453
Practice Address - Street 1:325 MARKET ST
Practice Address - Street 2:SUITE 303
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1226
Practice Address - Country:US
Practice Address - Phone:423-778-9451
Practice Address - Fax:423-778-9453
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3691464Medicare ID - Type Unspecified