Provider Demographics
NPI:1275975872
Name:BIDDLE, JENNIFER (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BIDDLE
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 1:404 BNA DR
Mailing Address - Street 2:STE 110A
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2517
Mailing Address - Country:US
Mailing Address - Phone:615-300-3743
Mailing Address - Fax:
Practice Address - Street 1:404 BNA DR
Practice Address - Street 2:STE 110A
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2517
Practice Address - Country:US
Practice Address - Phone:615-300-3743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional