MEDICARE: MRS. ESTHER CHELLADURAI MS, LPC MHSP, LADAC2

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1562	TN
2	101YM0800X	Mental Health Counselor	5956	TN

General Provider Information

NPI Number	:	1730956251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTHER CHELLADURAI MS, LPC MHSP, LADAC2

Provider Business Mailing Address
First Line	:	1013 SINGING SPRINGS RD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-8107
Country	:	US
Telephone Number	:	925-858-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 BEAR XING STE 100
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-4684
Country	:	US
Telephone Number	:	615-348-8589
Fax Number	:	615-622-8868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	02/19/2026

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