Provider Demographics
NPI:1538954698
Name:PITTENGER, LUCY LYNN (LPCMHSP-TEMP)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:LYNN
Last Name:PITTENGER
Suffix:
Gender:F
Credentials:LPCMHSP-TEMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 CROWELL DR
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037-1401
Mailing Address - Country:US
Mailing Address - Phone:615-971-0811
Mailing Address - Fax:
Practice Address - Street 1:805 S CHURCH ST STE 9
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4917
Practice Address - Country:US
Practice Address - Phone:615-813-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional