Healthcare Provider Details

I. General information

NPI: 1164575197
Provider Name (Legal Business Name): MRS. CARRIE IRENE SAXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 BNA DR SUITE 110
NASHVILLE TN
37217-2517
US

IV. Provider business mailing address

404 BNA DR SUITE 110
NASHVILLE TN
37217-2517
US

V. Phone/Fax

Practice location:
  • Phone: 615-601-0580
  • Fax: 675-777-3360
Mailing address:
  • Phone: 615-601-0580
  • Fax: 675-777-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: