Provider Demographics
NPI:1568287324
Name:ECHOLS, MARKATA
Entity type:Individual
Prefix:DR
First Name:MARKATA
Middle Name:
Last Name:ECHOLS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 NOLENSVILLE PIKE APT 111183
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4785
Mailing Address - Country:US
Mailing Address - Phone:334-707-7895
Mailing Address - Fax:
Practice Address - Street 1:141 NEESE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2750
Practice Address - Country:US
Practice Address - Phone:615-270-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2324101Y00000X
TN6368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor