MEDICARE: MRS. CHRISTINA SAMPIERI ELKINS

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

General Provider Information

NPI Number	:	1306061809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA SAMPIERI ELKINS

Provider Business Mailing Address
First Line	:	315 LAKE SHORE LN
Second Line	:
City	:	LA FOLLETTE
State	:	TN
Zip	:	37766-4163
Country	:	US
Telephone Number	:	423-494-4243
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 LAKE SHORE LN
Second Line	:
City	:	LA FOLLETTE
State	:	TN
Zip	:	37766-4163
Country	:	US
Telephone Number	:	423-494-4243
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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