Provider Demographics
NPI:1427372556
Name:HAYSLETT, MUSENGE LUCHEMBE (MMFT, TLPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:MUSENGE
Middle Name:LUCHEMBE
Last Name:HAYSLETT
Suffix:
Gender:F
Credentials:MMFT, TLPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 4TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2487
Mailing Address - Country:US
Mailing Address - Phone:615-693-6737
Mailing Address - Fax:
Practice Address - Street 1:162 4TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-2487
Practice Address - Country:US
Practice Address - Phone:615-693-6737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3592101YP2500X
TN1260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional