Provider Demographics
NPI:1861106932
Name:SPRINKEL, CAITLIN ALLIE (LCMHC, LPC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ALLIE
Last Name:SPRINKEL
Suffix:
Gender:F
Credentials:LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 MELROSE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-3626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:424 MELROSE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-3626
Practice Address - Country:US
Practice Address - Phone:678-982-4213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2024-07-08
Deactivation Date:2023-03-02
Deactivation Code:
Reactivation Date:2023-09-26
Provider Licenses
StateLicense IDTaxonomies
TX77286101YP2500X
NC14753101YP2500X
TN6753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional