Provider Demographics
NPI:1316777998
Name:ELKINS, CARMEN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:ELKINS
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 REV DR ENOCH JONES BLVD APT 304
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2570
Mailing Address - Country:US
Mailing Address - Phone:615-495-5184
Mailing Address - Fax:
Practice Address - Street 1:941 REV DR ENOCH JONES BLVD APT 304
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2570
Practice Address - Country:US
Practice Address - Phone:615-495-5184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional