Provider Demographics
NPI:1699298430
Name:CHOATE, NICK KELLY (LPC-MHSP)
Entity type:Individual
Prefix:MS
First Name:NICK
Middle Name:KELLY
Last Name:CHOATE
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 1:623 GENERAL GEORGE PATTON RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2457
Mailing Address - Country:US
Mailing Address - Phone:615-852-8281
Mailing Address - Fax:
Practice Address - Street 1:354 COOL SPRINGS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1689
Practice Address - Country:US
Practice Address - Phone:615-771-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health