Provider Demographics
NPI:1215254842
Name:PALAIA, DAVID JAMES (LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:PALAIA
Suffix:
Gender:M
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 1:1602 BOSCOBEL ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2012
Mailing Address - Country:US
Mailing Address - Phone:615-525-5820
Mailing Address - Fax:
Practice Address - Street 1:1104 FATHERLAND ST
Practice Address - Street 2:SUITE B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2906
Practice Address - Country:US
Practice Address - Phone:615-525-5820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional