Provider Demographics
NPI:1740794189
Name:NELSON, CHRISTOPHER (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:NELSON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:TERRYNELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMFT
Mailing Address - Street 1:803 NELLA DR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:953 MAIN ST STE 109B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3628
Practice Address - Country:US
Practice Address - Phone:413-350-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0002029106H00000X
TN1423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist