Provider Demographics
NPI:1578845541
Name:PALMER, ROSEMARY (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
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 1:845 BELL ROAD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1723
Mailing Address - Country:US
Mailing Address - Phone:615-732-8206
Mailing Address - Fax:615-913-8553
Practice Address - Street 1:845 BELL ROAD
Practice Address - Street 2:SUITE 113
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1723
Practice Address - Country:US
Practice Address - Phone:615-732-8206
Practice Address - Fax:615-913-8553
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000002748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional