Doctor Name: | MS. ELOUISE P GARRETT |
NPI Number: | 1528232055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 8888 |
Business Practice Address: | 165 Reliance Rd Tellico Plains, TN - 373855648 |
Business Phone Number: | 4232533031 |
Business Fax Number: | |
Mailing Address: | 165 Reliance Rd, TELLICO PLAINS |
State: | TN |
Postal Code: | 373855648 |
Phone Number: | 4232533031 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |