Provider Demographics
NPI:1275673212
Name:MCLAUGHLIN, KRISTY ANNE (LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:ANNE
Last Name:MCLAUGHLIN
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:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38281-0073
Mailing Address - Country:US
Mailing Address - Phone:731-589-5388
Mailing Address - Fax:731-681-2823
Practice Address - Street 1:108 S 1ST ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261
Practice Address - Country:US
Practice Address - Phone:731-589-5388
Practice Address - Fax:731-681-2823
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4280101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional