MEDICARE: MR. DAVID JAMES PALAIA LPC-MHSP

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	2504	TN

General Provider Information

NPI Number	:	1215254842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JAMES PALAIA LPC-MHSP

Provider Business Mailing Address
First Line	:	1602 BOSCOBEL ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-2012
Country	:	US
Telephone Number	:	615-525-5820
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 FATHERLAND ST
Second Line	:	SUITE B
City	:	NASHVILLE
State	:	TN
Zip	:	37206-2906
Country	:	US
Telephone Number	:	615-525-5820
Fax Number	:

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

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	04/21/2010

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