Provider Demographics
NPI:1114343050
Name:JAMES, STEPHEN BRIAN (MA, LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:BRIAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 GRASSMERE PARK
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3662
Mailing Address - Country:US
Mailing Address - Phone:615-491-1312
Mailing Address - Fax:
Practice Address - Street 1:624 GRASSMERE PARK
Practice Address - Street 2:SUITE 11
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3662
Practice Address - Country:US
Practice Address - Phone:615-491-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000002939101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional