Provider Demographics
NPI:1902383714
Name:LAPRADE, JOHN (LPC-MHSP, LMHC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:LAPRADE
Suffix:
Gender:M
Credentials:LPC-MHSP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 JANIE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2820
Mailing Address - Country:US
Mailing Address - Phone:917-716-3462
Mailing Address - Fax:
Practice Address - Street 1:1431 JANIE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2820
Practice Address - Country:US
Practice Address - Phone:917-716-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5998101YP2500X
NYP11809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional