Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL DOUGLAS FAIRBANKS, LCPC / LPC
Active Sole ProprietorPAUL DOUGLAS FAIRBANKS, LCPC / LPC is a Mental Health Counselor healthcare provider located in ROGERSVILLE, Tennessee. NPI 1356748578 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ROGERSVILLE, TN
Registration Details
- NPI Number
- 1356748578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2014 (11.678939530459 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
LPC-23438 (AZ)180011693 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1175 OLD HIGHWAY 66ROGERSVILLE, TN, 378575175Browse TN providers · Browse ZIP 37857
- Phone
- 8155660466
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
Other Mental Health Counselor Providers in ROGERSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| CHRISTY STAR TUNNELL | M.S | 1669944682 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.