Jared Prentiss, LPC-MHSP | |
5320 Hickory Hollow Pkwy, Antioch, TN 37013-3128 | |
(615) 669-5605 | |
Not Available |
Full Name | Jared Prentiss |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5320 Hickory Hollow Pkwy, Antioch, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528459344 | NPI | - | NPPES |
Q014226 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2904 (Tennessee) | Secondary |
101YP2500X | Counselor - Professional | 2904 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jared Prentiss, LPC-MHSP 1091 Secretariat Dr, Mt Juliet, TN 37122-3568 Ph: (615) 669-5605 | Jared Prentiss, LPC-MHSP 5320 Hickory Hollow Pkwy, Antioch, TN 37013-3128 Ph: (615) 669-5605 |
Kennia Sarahi Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Chelsea Bates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Blue Hole Rd, Antioch, TN 37013 Phone: 615-988-0353 | |
Sara Barnes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Donielle Leshea Townsend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Kendra Sadia White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Cane Ridge Rd Apt 703, Antioch, TN 37013 Phone: 919-901-2384 | |
Kurrissa K Johnson, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Cane Ridge Pkwy, Antioch, TN 37013 Phone: 615-525-8746 | |
Shelby Elizabeth Gibson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 |