Healthcare Provider Details

I. General information

NPI: 1942996350
Provider Name (Legal Business Name): DENISSA D. ROGERS- GILES LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 UNION ST STE 553
NASHVILLE TN
37219-1885
US

IV. Provider business mailing address

501 UNION ST STE 553
NASHVILLE TN
37219-1885
US

V. Phone/Fax

Practice location:
  • Phone: 615-499-6137
  • Fax:
Mailing address:
  • Phone: 615-499-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number7168
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7168
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: