Provider Demographics
NPI:1366139867
Name:KELLY, ANNA TURNER
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:TURNER
Last Name:KELLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 RIVERFRONT PARKWAY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2228
Mailing Address - Country:US
Mailing Address - Phone:615-260-0941
Mailing Address - Fax:
Practice Address - Street 1:782 RIVERFRONT PKWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1617
Practice Address - Country:US
Practice Address - Phone:615-260-0941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7588101YP2500X
7588101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional