Provider Demographics
NPI:1558161497
Name:GHAMMASHI, JOSEPH (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GHAMMASHI
Suffix:
Gender:
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 1:1657 E STONE DR STE B110
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4669
Mailing Address - Country:US
Mailing Address - Phone:423-212-3025
Mailing Address - Fax:
Practice Address - Street 1:1657 E STONE DR STE B110
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4669
Practice Address - Country:US
Practice Address - Phone:423-212-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health