Provider Demographics
NPI:1912199274
Name:ATKINS, KRISTI MICHELLE (LPC MHSP)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:MICHELLE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:LPC MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-6457
Mailing Address - Country:US
Mailing Address - Phone:423-519-9113
Mailing Address - Fax:423-442-2215
Practice Address - Street 1:1000 GREEN RD
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-6457
Practice Address - Country:US
Practice Address - Phone:423-519-9113
Practice Address - Fax:423-442-2215
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health