Provider Demographics
NPI:1245442847
Name:MCELHANNON, CAROL ANN (BA)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:MCELHANNON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 MCLEMORE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-8326
Mailing Address - Country:US
Mailing Address - Phone:214-317-5775
Mailing Address - Fax:
Practice Address - Street 1:901 S ERVAY ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-6419
Practice Address - Country:US
Practice Address - Phone:214-939-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker