Sara Elizabeth Crockett
School Counselor Mental Health Counselor
6110 Shallowford Rd Ste B
Chattanooga
, Tennessee 37421-1894
Sara Elizabeth Crockett
School Counselor Mental Health Counselor
6110 Shallowford Rd Ste B
Chattanooga
, Tennessee 37421-1894
(423) 716-7127
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About
Features
Specialties
- Mental Health Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Sara Elizabeth Crockett
- 8153 Kaitlin Ln
- Ooltewah, TN
- Zip : 37363-5910
- Phone : (423) 716-7127
Second Address
- Sara Elizabeth Crockett
- 6110 Shallowford Rd Ste B
- Chattanooga, TN
- Zip : 37421-1894
- Fax : (423) 296-6384
- Phone : (423) 499-1031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 101YS0200X | School Counselor | 000702717 | TN |
National Provider Identifier
| NPI | 1235651183 |
|---|---|
| Provider Name | Sara Elizabeth Crockett |
| First Address | Ooltewah, TN 37363-5910 |
| Second Address | Chattanooga, TN 37421-1894 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.