Provider Demographics
NPI:1902158546
Name:ALLEN, ROBERT CHANCELLOR JR (APN, LMSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CHANCELLOR
Last Name:ALLEN
Suffix:JR
Gender:M
Credentials:APN, LMSW
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Mailing Address - Street 1:4096 NEW HIGHWAY 96 W
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4778
Mailing Address - Country:US
Mailing Address - Phone:615-297-1550
Mailing Address - Fax:888-965-5341
Practice Address - Street 1:1704 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2972
Practice Address - Country:US
Practice Address - Phone:615-297-1550
Practice Address - Fax:888-965-5341
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2015-07-24
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Provider Licenses
StateLicense IDTaxonomies
TN8566104100000X
TN17055363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker