Provider Demographics
NPI:1992424139
Name:WILKERSON, CARRIE ELIZABETH (MA, MMFT)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ELIZABETH
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:MA, MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 W END AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1468
Mailing Address - Country:US
Mailing Address - Phone:615-205-2313
Mailing Address - Fax:
Practice Address - Street 1:2817 W END AVE STE 205
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1468
Practice Address - Country:US
Practice Address - Phone:615-205-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist