Provider Demographics
NPI:1669548608
Name:SCHETTLER, JIM (LMFT)
Entity type:Individual
Prefix:
First Name:JIM
Middle Name:
Last Name:SCHETTLER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 OLD HICKORY BLVD
Mailing Address - Street 2:APT 1009
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3719
Mailing Address - Country:US
Mailing Address - Phone:615-925-0209
Mailing Address - Fax:
Practice Address - Street 1:2400 CRESTMOOR RD
Practice Address - Street 2:SUITE 210
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2046
Practice Address - Country:US
Practice Address - Phone:615-298-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN711106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist