Provider Demographics
NPI:1164066007
Name:NEILSON, EMILY (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:NEILSON
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 NATCHEZ BEND RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-9714
Mailing Address - Country:US
Mailing Address - Phone:502-472-7713
Mailing Address - Fax:
Practice Address - Street 1:103 CONTINENTAL PL STE 120
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1086
Practice Address - Country:US
Practice Address - Phone:502-472-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4778101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor