Individual provider · Type 1 NPI
Larry Anthony Ivery Sr., LPC-MHSP
Mental Health Counselor · Pinson, TN
NPI number
1538684261
Active
Practice location
170 Frank Latham Rd
Pinson, TN 38366-9632
Fax (731) 989-7288
Mailing address
170 Frank Latham, 170 Frank Latham
Pinson, TN 38366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3964 (TN) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Pinson
About NPI 1538684261
Larry Anthony Ivery Sr., LPC-MHSP's National Provider Identifier is 1538684261, issued on Aug 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pinson, TN. The record was last updated on Jul 21, 2022.