Provider Demographics
NPI:1285808386
Name:SHEPPARD, BRIAN K (LPC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:K
Last Name:SHEPPARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 METROPLEX DR
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3139
Mailing Address - Country:US
Mailing Address - Phone:615-781-0013
Mailing Address - Fax:615-627-1441
Practice Address - Street 1:446 METROPLEX DR
Practice Address - Street 2:SUITE A-100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3139
Practice Address - Country:US
Practice Address - Phone:615-781-0013
Practice Address - Fax:615-627-1441
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1913106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist