Provider Demographics
NPI:1992420384
Name:GENTRY, MADISON EVE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:EVE
Last Name:GENTRY
Suffix:
Gender:
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 1:3261 HARPETH SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2385
Mailing Address - Country:US
Mailing Address - Phone:931-644-4445
Mailing Address - Fax:
Practice Address - Street 1:7501 OLD HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3358
Practice Address - Country:US
Practice Address - Phone:615-205-9943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional