Provider Demographics
NPI:1659003226
Name:BRENT, LINDSAY (PHARMD, MMHC)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:BRENT
Suffix:
Gender:F
Credentials:PHARMD, MMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 HUNTINGTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5995
Mailing Address - Country:US
Mailing Address - Phone:757-705-6464
Mailing Address - Fax:
Practice Address - Street 1:500 GREAT CIRCLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1309
Practice Address - Country:US
Practice Address - Phone:800-244-6224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN461483336M0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy