Provider Demographics
NPI:1295892396
Name:PRITCHARD, JOE MICHAEL (LPC)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:MICHAEL
Last Name:PRITCHARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 JONES ST
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2914
Mailing Address - Country:US
Mailing Address - Phone:615-847-8741
Mailing Address - Fax:615-860-6309
Practice Address - Street 1:333 GALLATIN RD
Practice Address - Street 2:SUITE 14
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115
Practice Address - Country:US
Practice Address - Phone:615-860-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000001403101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional