Provider Demographics
NPI:1033006564
Name:HULSEY, WEATHERLY RAE (LPC-MHSP (TEMP))
Entity type:Individual
Prefix:
First Name:WEATHERLY
Middle Name:RAE
Last Name:HULSEY
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5163 REGENT DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1912
Mailing Address - Country:US
Mailing Address - Phone:703-622-9596
Mailing Address - Fax:
Practice Address - Street 1:103 CONTINENTAL PL STE 400
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1073
Practice Address - Country:US
Practice Address - Phone:615-852-8988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional