Healthcare Provider Details

I. General information

NPI: 1740357052
Provider Name (Legal Business Name): CHRISTOPHER DOUGLAS O'REAR MDIV, MMFT, LCPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 11/13/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 DAVIDSON RD COUNSELING CENTER AT BELLE MEADE UMC
NASHVILLE TN
37205-2723
US

IV. Provider business mailing address

COUNSELING CENTER, PLLC 121 DAVIDSON ROAD
NASHVILLE TN
37205
US

V. Phone/Fax

Practice location:
  • Phone: 615-763-3236
  • Fax:
Mailing address:
  • Phone: 615-763-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberCPT0000000038
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: