Provider Demographics
NPI:1477290492
Name:HUDSON, ERIC BRIAN (LPC-MHSP, CSAT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:BRIAN
Last Name:HUDSON
Suffix:
Gender:M
Credentials:LPC-MHSP, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7151 LEE HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-0809
Mailing Address - Country:US
Mailing Address - Phone:423-451-6007
Mailing Address - Fax:
Practice Address - Street 1:7151 LEE HWY STE 400
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-0809
Practice Address - Country:US
Practice Address - Phone:423-451-6007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000004347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health