Individual
MR. LUKE DELAVERGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
210 25TH AVE N STE 1220, NASHVILLE, TN 37203-1606
(615) 549-5033
Mailing address
4156 MEADOW VIEW CIR, PLEASANT VIEW, TN 37146-8197
(615) 549-5033
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1412647
EMPLOYEE IDENTIFICATION NUMBER
TN
Enumeration date
08/02/2018
Last updated
06/11/2019
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