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

Tristan K Petty, LPC/MHSP

Individual provider Professional Counselor · NPI 1659782647

Tristan K Petty, LPC/MHSP is a Professional Counselor in Madison, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2014

Practice location Address checks out

607 W Due West Ave Ste 106
Madison, TN 37115-4420
Phone: (615) 964-7113
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3077 (TN)

Record details

NPI number1659782647
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC/MHSP
Sole proprietorYes
NPI enumeratedMay 13, 2014
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

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