Provider Demographics
NPI:1023067626
Name:AMERIPARTNER INC.
Entity type:Organization
Organization Name:AMERIPARTNER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:W
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-265-4700
Mailing Address - Street 1:401 CHESTNUT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-4924
Mailing Address - Country:US
Mailing Address - Phone:423-265-4700
Mailing Address - Fax:423-265-4707
Practice Address - Street 1:1815 MARTHAS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3871
Practice Address - Country:US
Practice Address - Phone:423-265-4700
Practice Address - Fax:423-265-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGRP 6721103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP 6721Medicare ID - Type Unspecified