Henry, Jacob

Henry, Jacob is an sole proprietor health care provider with primary practice located at 5217 Maryland Way Ste 307 , Brentwood TN 37027-1056. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Henry, Jacob can be contacted via phone (615) 882-1792.

Contact Information

Primary practice address
5217 Maryland Way Ste 307 Brentwood TN 37027-1056
Phone: (615) 882-1792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401224036 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 279920 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3595 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 3595 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12106 Oklahoma

Profile Details

NPI number 1487103701
LBN Legal business name Henry, Jacob
Credentials LPC-MHSP-S, LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2016
Last updated Apr 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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