Provider Demographics
NPI:1811141344
Name:MCKOY, TONYA L (MED, LPC-MHSP, NCC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:L
Last Name:MCKOY
Suffix:
Gender:F
Credentials:MED, 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 1:5331 MOUNT VIEW RD
Mailing Address - Street 2:PMB #227
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2308
Mailing Address - Country:US
Mailing Address - Phone:615-200-6360
Mailing Address - Fax:615-777-9320
Practice Address - Street 1:1321 MURFREESBORO PIKE STE 540
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2612
Practice Address - Country:US
Practice Address - Phone:615-200-6360
Practice Address - Fax:615-777-9320
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN2771101YP2500X
TN3676103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional