Provider Demographics
NPI:1578040556
Name:MCLEOD, ROSAMOND PAMELA (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ROSAMOND
Middle Name:PAMELA
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MISS
Other - First Name:ROSAMOND
Other - Middle Name:PAMELA
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:402 BNA DR STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2553
Mailing Address - Country:US
Mailing Address - Phone:615-818-0936
Mailing Address - Fax:615-864-7659
Practice Address - Street 1:402 BNA DR STE 202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2553
Practice Address - Country:US
Practice Address - Phone:615-784-8864
Practice Address - Fax:615-902-7150
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4332101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty