Provider Demographics
NPI:1528425683
Name:PINKERTON, MYCHELLE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MYCHELLE
Middle Name:
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 BRAINERD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-2709
Mailing Address - Country:US
Mailing Address - Phone:423-228-7011
Mailing Address - Fax:
Practice Address - Street 1:3505 BRAINERD RD STE 1
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-2709
Practice Address - Country:US
Practice Address - Phone:423-228-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist