Healthcare Provider Details

I. General information

NPI: 1053216192
Provider Name (Legal Business Name): DAVID BRENT HOLLIS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 NUNNERY LN
NASHVILLE TN
37221-6627
US

IV. Provider business mailing address

1061 NUNNERY LN
NASHVILLE TN
37221-6627
US

V. Phone/Fax

Practice location:
  • Phone: 615-779-0236
  • Fax:
Mailing address:
  • Phone: 615-779-0236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10086
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: