Provider Demographics
NPI:1114323284
Name:HARTMAN, CAROLINE RHETT (LPC-MHSP, CEDS)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:RHETT
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LPC-MHSP, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 KENILWORTH DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2139
Mailing Address - Country:US
Mailing Address - Phone:443-519-5601
Mailing Address - Fax:443-519-5601
Practice Address - Street 1:85 WHITE BRIDGE ROAD, STE 302
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205
Practice Address - Country:US
Practice Address - Phone:615-238-9100
Practice Address - Fax:615-393-6940
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional