Provider Demographics
NPI:1932402229
Name:RICHARDS-WASCHER, LISA LYNNE (LPC-MHSP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:LYNNE
Last Name:RICHARDS-WASCHER
Suffix:
Gender:F
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 1:528 SCHOLARSHIP DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2810
Mailing Address - Country:US
Mailing Address - Phone:615-397-3489
Mailing Address - Fax:
Practice Address - Street 1:2400 CRESTMOOR RD
Practice Address - Street 2:SUITE 200
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?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2601OtherHEALTH RELATED BOARDS