Provider Demographics
NPI:1013917590
Name:PEKARY, CHRISTOPHER RAY (LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:RAY
Last Name:PEKARY
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HALLE PARK CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7178
Mailing Address - Country:US
Mailing Address - Phone:901-651-2910
Mailing Address - Fax:
Practice Address - Street 1:1100 HALLE PARK CIR STE 101
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7178
Practice Address - Country:US
Practice Address - Phone:901-651-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000001608101Y00000X, 101YM0800X, 101YP1600X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN42116OtherCIGNA
TN4093597OtherTN BLUE CROSS BLUE SHIELD