| Doctor Name: | MS. CARRIE LYNN ELDER |
| NPI Number: | 1003108374 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, ATR-BC |
| License Number: | LPC005848 |
| Business Practice Address: | 3880 Laurel Brook Way Snellville, GA - 300396488 |
| Business Phone Number: | 7709719311 |
| Business Fax Number: | |
| Mailing Address: | 3880 Laurel Brook Way, SNELLVILLE |
| State: | GA |
| Postal Code: | 30039 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |