Provider Demographics
NPI:1548351778
Name:GILES, CARLIN M (LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:CARLIN
Middle Name:M
Last Name:GILES
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 INDIAN LAKE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3884
Mailing Address - Country:US
Mailing Address - Phone:615-559-0434
Mailing Address - Fax:
Practice Address - Street 1:131 INDIAN LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3884
Practice Address - Country:US
Practice Address - Phone:615-559-0434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1812101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4120947OtherBCBSTN
TN5441820Medicaid