Individual
DR. JAMIE RAY PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D LPC - MHSP
Contact information
Practice address
6401 POPLAR AVE STE 500, MEMPHIS, TN 38119-4808
(901) 746-9438
(901) 410-4536
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2300
TN
101YP2500X
Professional Counselor
Primary
2300
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002300
LPC NUMBER
TN
05
—
Q051103
—
TN
Enumeration date
02/07/2019
Last updated
02/12/2026
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