OrganizationActive
Independance Adult Treatment Service
NPI 1245579218 · Mental Illness Community Based Residential Treatment Facility · Chattanooga, TN
Provider details
- NPI number
- 1245579218
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latonya Long, Co-Owner(404) 510-2058
- License
- I000000012355 (TN)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense I000000012355 (TN)
Residential Treatment Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 Dodds Ave
Chattanooga, TN 37404-3913
Phone: (423) 521-3083
Fax: (423) 289-3567
Street-level locationGet directions
Mailing address
709 Dodds Ave
Chattanooga, TN 37404-3913
Registry dates
- Enumerated
- 2013-02-11
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.