Provider Demographics
NPI:1164870648
Name:EISENHART, EMILY (LPC-MHSP, LMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:EISENHART
Suffix:
Gender:F
Credentials:LPC-MHSP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1949
Mailing Address - Country:US
Mailing Address - Phone:615-251-8805
Mailing Address - Fax:615-251-8868
Practice Address - Street 1:2636 MARYVILLE PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-5575
Practice Address - Country:US
Practice Address - Phone:865-934-2890
Practice Address - Fax:865-934-2894
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3325101YM0800X
TN1138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist