Provider Demographics
NPI:1962704825
Name:TAMENE, ELIAS (LPC)
Entity type:Individual
Prefix:
First Name:ELIAS
Middle Name:
Last Name:TAMENE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BOCAGE CIR
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-3048
Mailing Address - Country:US
Mailing Address - Phone:617-971-7645
Mailing Address - Fax:
Practice Address - Street 1:2001 BOCAGE CIR
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-3048
Practice Address - Country:US
Practice Address - Phone:615-957-9098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79776101YP2500X
FLMH19554101YP2500X
GA012283101YP2500X
TN2616101YP2500X
MA7350101YP2500X
NY011998101YP2500X
CT6583101YP2500X
CA10407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional