| Doctor Name: | MS. CAROLYN COLEY DODDS |
| NPI Number: | 1316148976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LSW0000000561 |
| Business Practice Address: | 3735 N Mt Juliet Rd Suite 102 Mt Juliet, TN - 371223060 |
| Business Phone Number: | 6157583783 |
| Business Fax Number: | 6157584128 |
| Mailing Address: | 3735 N. Mt. Juliet Rd, Suite 100 MT. JULIET |
| State: | TN |
| Postal Code: | 371223056 |
| Phone Number: | 6159341618 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW0000000561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |