Provider Demographics
NPI:1205452083
Name:PRATT, ALISA (LMSW, MAC)
Entity type:Individual
Prefix:MS
First Name:ALISA
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:LMSW, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 4TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-1619
Mailing Address - Country:US
Mailing Address - Phone:615-582-5665
Mailing Address - Fax:
Practice Address - Street 1:607 W DUE WEST AVE STE 107
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4420
Practice Address - Country:US
Practice Address - Phone:615-582-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker