Doctor Name: | NAN ELKINS |
NPI Number: | 1194725150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1803 |
Business Practice Address: | 1404 W 1st St Ste F Gulf Shores, AL - 365424444 |
Business Phone Number: | 3344444205 |
Business Fax Number: | |
Mailing Address: | 1745 Arcadia Dr, FOLEY |
State: | AL |
Postal Code: | 365352460 |
Phone Number: | 3344444205 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1803 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |