Provider Demographics
NPI:1437412376
Name:TESSIER, LAURA MADDUX (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MADDUX
Last Name:TESSIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ALLISON
Other - Last Name:MADDUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:124 RIDGEMONT PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2940
Mailing Address - Country:US
Mailing Address - Phone:629-204-2620
Mailing Address - Fax:
Practice Address - Street 1:106 MISSION CT
Practice Address - Street 2:STE 102
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6442
Practice Address - Country:US
Practice Address - Phone:629-204-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW84881041C0700X
TN6206 (LCSW)1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical