Provider Demographics
NPI:1437764958
Name:LOTT, JESSE KRISTOPHER (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:KRISTOPHER
Last Name:LOTT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 MARYLAND WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5072
Mailing Address - Country:US
Mailing Address - Phone:615-377-1153
Mailing Address - Fax:
Practice Address - Street 1:5200 MARYLAND WAY STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5072
Practice Address - Country:US
Practice Address - Phone:615-377-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health