Provider Demographics
NPI:1790173391
Name:GLASPY, ACE BRANDON (MS, BA, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:ACE
Middle Name:BRANDON
Last Name:GLASPY
Suffix:
Gender:M
Credentials:MS, BA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-2513
Mailing Address - Country:US
Mailing Address - Phone:865-314-7453
Mailing Address - Fax:
Practice Address - Street 1:606 CLINTON ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-2513
Practice Address - Country:US
Practice Address - Phone:865-314-7453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ062702Medicaid