MR. DONOVAN C MCLEOD
NPI 1619552304
Community Based Residential Treatment Facility, Mental Illness in Chattanooga, TN

Active since March 14, 2021
4704 KENWOOD AVE, CHATTANOOGA, TN 37411(423) 505-7866 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Donovan C Mcleod NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONOVAN C MCLEOD (NPI 1619552304) is an individual community based residential treatment facility, mental illness provider in Chattanooga, Tennessee, licensed in Tennessee (L000000026251) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1619552304
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameMR. DONOVAN C MCLEOD
Location Address4704 KENWOOD AVEChattanooga, TN 37411-3805
Mailing AddressPo Box 80925Chattanooga, TN 37414-7925 · (423) 505-7866
Sole ProprietorYes
Enumeration DateMarch 14, 2021
NPPES CertifiedMarch 14, 2021
NPI 1619552304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in TN · L000000026251
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4704 KENWOOD AVE, Chattanooga, TN 37411

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Private Vehicle
4704 KENWOOD AVE
CHATTANOOGA, TN 37411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donovan Mcleod's NPI number?

The NPI number for Donovan Mcleod is 1619552304. It was assigned to this individual provider in the NPPES registry on March 14, 2021.

Where is Donovan Mcleod located?

Donovan Mcleod practices at 4704 Kenwood Ave, Chattanooga, TN 37411. The listed phone number is (423) 505-7866.

What is Donovan Mcleod's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Donovan Mcleod was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.