Leigh Ann Pray, LMFT
Individual provider Active NPI Marriage & Family Therapist · Memphis, TN
NPI 1285828129 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1285828129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 661 (TN)
- Practice address
- 1407 Union Ave
Memphis, TN 38104 - Phone
- (901) 800-4645
- Fax
- (901) 729-6377
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131000959 | TN | Practitioner - Marriage and Family Therapist | 2062865678 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Community Health, Inc. | Current |
Accepting new patients | |
| The Solution Source, LLC. | Past | Accepting new patients |
Locations
1401 Williams St
Ste 210
Chattanooga, TN 37408
Phone (423) 207-4712
2600 Executive Park NW
Cleveland, TN 37312
Phone (423) 458-4122
1365 Maley Hollow Rd
Dayton, TN 37321
Phone (314) 503-7015
4709 Papermill Dr
Ste 100
Knoxville, TN 37909
103 Weakley Creek Rd
#B
Lawrenceburg, TN 38464
Phone (931) 766-1916
301 S Perimeter Park Dr
Ste 210
Nashville, TN 37211
Phone (615) 726-3603
22510 Alberta St
Oneida, TN 37841
Phone (423) 215-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 661 | TN | Yes |
Addresses
Primary practice location
1407 Union Ave
Memphis, TN 38104
Mailing address
3424 Bent Creek CV
Collierville, TN 38017-8956
Phone (615) 804-7164
Other practice location 1
215 Centerview Dr
Suite 300
Brentwood, TN 37027-5246
Phone (615) 370-4228 ext. 3312
Other providers in Memphis, TN
- Denise M Pratt
- Grace Peralta Pratt
- Helen Pratt
- Thomas Pratt
- Christina Pray
- PRC Psychiatry
- Precious Angels Home Care
- Precision Community Services LLC
- Precision Healthcare Inc
- Precision Healthcare Inc
All providers in Memphis, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.