Healthcare Provider Details

I. General information

NPI: 1508785072
Provider Name (Legal Business Name): MICHAEL MUSARRA JR. A-LPC/MHSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 BERRY HILL DR
NASHVILLE TN
37204-3126
US

IV. Provider business mailing address

1635 BRYSON CV
THOMPSONS STATION TN
37179-2316
US

V. Phone/Fax

Practice location:
  • Phone: 615-635-3210
  • Fax:
Mailing address:
  • Phone: 615-635-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1246899
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: