Provider Demographics
NPI:1467774083
Name:MEW, DARLENE ANTHEA (LPC MHSP, LCMHC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:ANTHEA
Last Name:MEW
Suffix:
Gender:F
Credentials:LPC MHSP, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 OVERBRIDGE LN STE 2
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3320
Mailing Address - Country:US
Mailing Address - Phone:678-665-6666
Mailing Address - Fax:
Practice Address - Street 1:4501 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5035
Practice Address - Country:US
Practice Address - Phone:423-290-0358
Practice Address - Fax:423-933-2943
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000002542101YP2500X
NC19262101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional