Provider Demographics
NPI:1548555170
Name:NEAL, VICKI H (LPC(MHSP), LSPE)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:H
Last Name:NEAL
Suffix:
Gender:F
Credentials:LPC(MHSP), LSPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 44TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1529
Mailing Address - Country:US
Mailing Address - Phone:615-818-5652
Mailing Address - Fax:615-730-8327
Practice Address - Street 1:1000 44TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1529
Practice Address - Country:US
Practice Address - Phone:615-818-5652
Practice Address - Fax:615-730-8327
Is Sole Proprietor?:No
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000000797101YP2500X
TNPE0000001307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional