Provider Demographics
NPI:1821148552
Name:HUME, ANA (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NANCI
Other - Middle Name:LEE
Other - Last Name:CHAFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2900 TAZEWELL PIKE
Mailing Address - Street 2:STE G
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1880
Mailing Address - Country:US
Mailing Address - Phone:865-742-6488
Mailing Address - Fax:865-689-4443
Practice Address - Street 1:210 SIMMONS ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4750
Practice Address - Country:US
Practice Address - Phone:865-970-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0848101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN20-4481954OtherTN TAX IDENTIFICATION NUM
TN1506720Medicaid
TNQ033994Medicaid