Provider Demographics
NPI:1033610647
Name:WILKINSON, ERYN RACHEL (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:RACHEL
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:RACHEL
Other - Last Name:HAWKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 NOWLIN LN STE 400
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7322
Mailing Address - Country:US
Mailing Address - Phone:423-265-7935
Mailing Address - Fax:
Practice Address - Street 1:117 NOWLIN LN STE 400
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7322
Practice Address - Country:US
Practice Address - Phone:423-265-7935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4702101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health