Elisa N Allen, MA, LPC-MHSP
Individual provider Active NPI Mental Health Counselor · Smithville, TN
NPI 1053789958 · NPPES record last updated Aug 14, 2016
Key facts
- NPI
- 1053789958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3737 (TN)
- Practice address
- 301 W Main St
Smithville, TN 37166-1211 - Phone
- (615) 597-4673
- Fax
- (615) 597-4673
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3737 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven of Hope of Dekalb County, Inc. | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3737 | TN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3737 | TN | |
| Marriage & Family Therapist | 106H00000X | 3737 | TN | |
| Mental Health Counselor | 101YM0800X | 3737 | TN | Yes |
Addresses
Primary practice location
301 W Main St
Smithville, TN 37166-1211
Mailing address
301 W Main St
Smithville, TN 37166-1211
Phone (615) 597-4673
Other providers in Smithville, TN
- Advanced Diagnostic Imaging PC
- Casey Nicole Agee
- Sarah Rebecca Aldred
- Linda L Allison
- Melody Anderson
- Gayle Archer
- Robert R Atnip
- Jason A Austin
All providers in Smithville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.