Provider Demographics
NPI:1770092868
Name:N.L.N., P LIZA (LPC-MHSP , NCC)
Entity type:Individual
Prefix:
First Name:P LIZA
Middle Name:
Last Name:N.L.N.
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 1:2102 ERIN LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2229
Mailing Address - Country:US
Mailing Address - Phone:615-589-4566
Mailing Address - Fax:615-777-3244
Practice Address - Street 1:1105 17TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2203
Practice Address - Country:US
Practice Address - Phone:615-589-4566
Practice Address - Fax:615-777-3244
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003403101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3403OtherLPC-MHSP