Provider Demographics
NPI:1194725150
Name:ELKINS, NANETTE F (LPC)
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:F
Last Name:ELKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 ARCADIA DR
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2460
Mailing Address - Country:US
Mailing Address - Phone:334-444-4205
Mailing Address - Fax:
Practice Address - Street 1:613 GULF SHORES PKWY STE 204
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-6451
Practice Address - Country:US
Practice Address - Phone:334-444-4205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1803101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1803OtherLPC
ALI652Medicare PIN