Provider Demographics
NPI:1386858777
Name:PATE, RAY K SR (LPC MHSP)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:K
Last Name:PATE
Suffix:SR
Gender:M
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 1:262 CHEROKEE PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5153
Mailing Address - Country:US
Mailing Address - Phone:865-984-4223
Mailing Address - Fax:865-681-1789
Practice Address - Street 1:262 CHEROKEE PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5153
Practice Address - Country:US
Practice Address - Phone:865-984-4223
Practice Address - Fax:865-681-1789
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional