Provider Demographics
NPI:1649482571
Name:POYNTER, BRIAN S (LPC, MHSP, NCC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:S
Last Name:POYNTER
Suffix:
Gender:M
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 1:2300 21ST AVE S
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4927
Mailing Address - Country:US
Mailing Address - Phone:615-480-4735
Mailing Address - Fax:
Practice Address - Street 1:2300 21ST AVE S
Practice Address - Street 2:SUITE 303
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4927
Practice Address - Country:US
Practice Address - Phone:615-480-4735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4105267OtherBCBS PIN