Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey Jay Waller Jr., LPC-MHSP

Individual provider Mental Health Counselor · NPI 1619628096

Mr. Jeffrey Jay Waller Jr., LPC-MHSP is a Mental Health Counselor in Brentwood, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

9025 Overlook Blvd Ste 200
Brentwood, TN 37027-2710
Phone: (864) 642-5004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619628096
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 14, 2022

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