Provider Demographics
NPI:1023555430
Name:PARHAM, STEPHEN (MSCMHC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:PARHAM
Suffix:
Gender:M
Credentials:MSCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 WILSON PIKE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5219
Mailing Address - Country:US
Mailing Address - Phone:615-504-3430
Mailing Address - Fax:
Practice Address - Street 1:3534 W END AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2401
Practice Address - Country:US
Practice Address - Phone:615-504-3430
Practice Address - Fax:615-864-7175
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3603101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional