Provider Demographics
NPI:1215345962
Name:HUMERICK, EMILY (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUMERICK
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:604 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3216
Mailing Address - Country:US
Mailing Address - Phone:931-202-3031
Mailing Address - Fax:
Practice Address - Street 1:604 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-202-3031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN3976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health