Provider Demographics
NPI:1265474233
Name:MCCALL, CHARLA (LPC)
Entity Type:Individual
Prefix:
First Name:CHARLA
Middle Name:
Last Name:MCCALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINDSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2038
Mailing Address - Country:US
Mailing Address - Phone:615-259-9055
Mailing Address - Fax:615-259-9056
Practice Address - Street 1:25 LINDSLEY AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2038
Practice Address - Country:US
Practice Address - Phone:615-259-9055
Practice Address - Fax:615-259-9056
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional