Provider Demographics
NPI:1043587660
Name:EMERICK, COREY L (LPC)
Entity Type:Individual
Prefix:MS
First Name:COREY
Middle Name:L
Last Name:EMERICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 4TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1110
Mailing Address - Country:US
Mailing Address - Phone:615-724-0865
Mailing Address - Fax:615-724-0871
Practice Address - Street 1:1010 4TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1110
Practice Address - Country:US
Practice Address - Phone:615-724-0865
Practice Address - Fax:615-724-0871
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2778101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional