Provider Demographics
NPI:1154188639
Name:O'REILLY, CHRISTOPHER GREGORY (MA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:GREGORY
Last Name:O'REILLY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CLARENDON CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-1837
Mailing Address - Country:US
Mailing Address - Phone:484-818-0856
Mailing Address - Fax:
Practice Address - Street 1:1610 54TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1401
Practice Address - Country:US
Practice Address - Phone:615-789-6609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000006041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional