MEDICARE: NANETTE F ELKINS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1803	AL
2	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1803	OTHER	AL	LPC

General Provider Information

NPI Number	:	1194725150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANETTE F ELKINS LPC

Provider Business Mailing Address
First Line	:	1745 ARCADIA DR
Second Line	:
City	:	FOLEY
State	:	AL
Zip	:	36535-2460
Country	:	US
Telephone Number	:	334-444-4205
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 GULF SHORES PKWY STE 204
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-6451
Country	:	US
Telephone Number	:	334-444-4205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	07/21/2022

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