Organization
THE PRATT CLINIC, PLLC
Active
Other names
The Pratt Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY BOLTON PRATT PHD, LPC/MHSP (OWNER)
(731) 803-4652
Entity
Organization
Contact information
Practice address
168 W UNIVERSITY PKWY, JACKSON, TN 38305-1624
(731) 660-0199
(731) 227-6116
Mailing address
162 ROLLING OAKS DR, HUMBOLDT, TN 38343-8585
(731) 803-4652
(731) 227-6116
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/28/2020
Last updated
02/05/2025
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