Provider Demographics
NPI:1184413353
Name:MONDY, KATHRYN (MFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MONDY
Suffix:
Gender:
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 CARTER ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-4542
Mailing Address - Country:US
Mailing Address - Phone:423-708-2011
Mailing Address - Fax:
Practice Address - Street 1:1401 CARTER ST STE 102
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-4542
Practice Address - Country:US
Practice Address - Phone:423-708-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist