Provider Demographics
NPI:1104377969
Name:SYKES, MOLLIE JEAN (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MOLLIE
Middle Name:JEAN
Last Name:SYKES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1848 SHORT LEAF LN
Mailing Address - Street 2:
Mailing Address - City:SODDY DAISY
Mailing Address - State:TN
Mailing Address - Zip Code:37379-9027
Mailing Address - Country:US
Mailing Address - Phone:423-605-6678
Mailing Address - Fax:
Practice Address - Street 1:301 S PERIMETER PARK DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4143
Practice Address - Country:US
Practice Address - Phone:865-525-0391
Practice Address - Fax:865-525-0393
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health