| Mrs Esther Chelladurai, MS, LPC MHSP, LADAC2 | |
|
145 Bear Xing Ste 100, Mount Juliet, TN 37122-4684 | |
| (615) 348-8589 | |
| (615) 622-8868 |
| Full Name | Mrs Esther Chelladurai |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 145 Bear Xing Ste 100, Mount Juliet, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730956251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1562 (Tennessee) | Secondary |
| 101YM0800X | Counselor - Mental Health | 5956 (Tennessee) | Primary |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Esther Chelladurai, MS, LPC MHSP, LADAC2 1013 Singing Springs Rd, Mount Juliet, TN 37122-8107 Ph: (925) 858-5393 | Mrs Esther Chelladurai, MS, LPC MHSP, LADAC2 145 Bear Xing Ste 100, Mount Juliet, TN 37122-4684 Ph: (615) 348-8589 |
Mr. Jacob Daniel Dye, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9053 Couchville Pike, Mount Juliet, TN 37122 Phone: 615-900-7267 | |
Lori Page, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5000 Crossings Cir Ste 103, Mount Juliet, TN 37122 Phone: 615-860-0110 | |
Susan Morgan, LADAC II Counselor Medicare: May Accept Medicare Assignments Practice Location: 1645 Corinth Rd, Mount Juliet, TN 37122 Phone: 615-481-3211 | |
Raquel Jackson Shutze, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 W Division St, Mount Juliet, TN 37122 Phone: 601-297-3132 | |
Ashley Jenise Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122 Phone: 615-438-3615 | |
Brittney Rahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122 Phone: 615-438-3615 | |
Jordan Ashley Shiflett, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 5000 Crossings Circle Suite 103, Mount Juliet, TN 37122 Phone: 615-208-9549 |