Provider Demographics
NPI:1679157655
Name:SEATON, EILIDH MCPHEE
Entity Type:Individual
Prefix:
First Name:EILIDH
Middle Name:MCPHEE
Last Name:SEATON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 LONG BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-5413
Mailing Address - Country:US
Mailing Address - Phone:678-340-9931
Mailing Address - Fax:
Practice Address - Street 1:474 LONG BRANCH RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-5413
Practice Address - Country:US
Practice Address - Phone:678-340-9931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional