Provider Demographics
NPI:1255060513
Name:HUDSON, SHEILA RENEE (LPC-MHSP, NCC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:RENEE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LPC-MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 292785
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37229-2785
Mailing Address - Country:US
Mailing Address - Phone:615-962-5373
Mailing Address - Fax:
Practice Address - Street 1:762 E ARGYLE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5024
Practice Address - Country:US
Practice Address - Phone:615-962-5373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health