Organization
THE PRATT CLINIC, PLLC
Active
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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