MEDICARE: JOHN LAPRADE LPC-MHSP, LMHC

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	101YP2500X	Professional Counselor	5998	TN
2	101YM0800X	Mental Health Counselor	P11809	NY

General Provider Information

NPI Number	:	1902383714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LAPRADE LPC-MHSP, LMHC

Provider Business Mailing Address
First Line	:	1431 JANIE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2820
Country	:	US
Telephone Number	:	917-716-3462
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 JANIE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2820
Country	:	US
Telephone Number	:	917-716-3462
Fax Number	:

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

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	03/02/2023

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