Provider Demographics
NPI:1184265118
Name:VOGL, CAITLYNN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:CAITLYNN
Middle Name:
Last Name:VOGL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:CAITLYNN
Other - Middle Name:
Other - Last Name:RATLIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA
Mailing Address - Street 1:4009 WILSONIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-2128
Mailing Address - Country:US
Mailing Address - Phone:509-822-6777
Mailing Address - Fax:
Practice Address - Street 1:4009 WILSONIA AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-2128
Practice Address - Country:US
Practice Address - Phone:509-822-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC2200X
WA61300616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent