Provider Demographics
NPI:1245507714
Name:RISER, STEVEN C JR (LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:C
Last Name:RISER
Suffix:JR
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 1:109 HOLIDAY CT
Mailing Address - Street 2:SUITE A1
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3000
Mailing Address - Country:US
Mailing Address - Phone:901-857-9722
Mailing Address - Fax:
Practice Address - Street 1:9045 FOREST CENTRE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7857
Practice Address - Country:US
Practice Address - Phone:901-756-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional