Provider Demographics
NPI:1598417859
Name:WHEELER, ROBERT LYNN III (LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LYNN
Last Name:WHEELER
Suffix:III
Gender:M
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 1:5009 TIMBERHILL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4333
Mailing Address - Country:US
Mailing Address - Phone:859-492-9913
Mailing Address - Fax:
Practice Address - Street 1:5009 TIMBERHILL DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4333
Practice Address - Country:US
Practice Address - Phone:859-492-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5695101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional