Provider Demographics
NPI:1427425198
Name:THE ELK INSTITUTE
Entity type:Organization
Organization Name:THE ELK INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ELK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:813-310-6686
Mailing Address - Street 1:3750 GUNN HWY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-8905
Mailing Address - Country:US
Mailing Address - Phone:813-310-6686
Mailing Address - Fax:
Practice Address - Street 1:3750 GUNN HWY
Practice Address - Street 2:SUITE 309
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8905
Practice Address - Country:US
Practice Address - Phone:813-310-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty