Provider Demographics
NPI:1730956251
Name:CHELLADURAI, ESTHER (MS, LPC MHSP, LADAC2)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:CHELLADURAI
Suffix:
Gender:F
Credentials:MS, LPC MHSP, LADAC2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 SINGING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8107
Mailing Address - Country:US
Mailing Address - Phone:925-858-5393
Mailing Address - Fax:
Practice Address - Street 1:1185 NASHVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3165
Practice Address - Country:US
Practice Address - Phone:615-510-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1562101YA0400X
TN5956101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)