Provider Demographics
NPI:1376181636
Name:PATEL, MAHALEY (MA MMFT)
Entity Type:Individual
Prefix:
First Name:MAHALEY
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MA MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 BERNARD AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4229
Mailing Address - Country:US
Mailing Address - Phone:615-988-5123
Mailing Address - Fax:
Practice Address - Street 1:2107 BERNARD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4229
Practice Address - Country:US
Practice Address - Phone:615-988-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-18
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist