Provider Demographics
NPI:1417483256
Name:LARKIN OATES
Entity Type:Organization
Organization Name:LARKIN OATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:LARKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OATES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFA
Authorized Official - Phone:615-945-8950
Mailing Address - Street 1:1401 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2329
Mailing Address - Country:US
Mailing Address - Phone:615-945-8950
Mailing Address - Fax:
Practice Address - Street 1:953 MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3628
Practice Address - Country:US
Practice Address - Phone:615-945-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3929251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3929OtherMENTAL HEALTH COUNSELOR