Individual
MITCHEL PENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VANTAGE WAY STE E130, NASHVILLE, TN 37228-1591
(615) 988-4763
Mailing address
1711 WELCOME LN, NASHVILLE, TN 37216-4115
(559) 802-7997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8343
TN
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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