Provider Demographics
NPI:1942996350
Name:ROGERS- GILES, DENISSA D (TEMP LPC-MHSP)
Entity Type:Individual
Prefix:MS
First Name:DENISSA
Middle Name:D
Last Name:ROGERS- GILES
Suffix:
Gender:F
Credentials:TEMP LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 UNION ST STE 553
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1885
Mailing Address - Country:US
Mailing Address - Phone:615-499-6137
Mailing Address - Fax:
Practice Address - Street 1:501 UNION ST STE 553
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1885
Practice Address - Country:US
Practice Address - Phone:615-499-6137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor