Provider Demographics
NPI:1255730123
Name:LITTON, CHRISTEL (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTEL
Middle Name:
Last Name:LITTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTEL
Other - Middle Name:
Other - Last Name:EATHERLY, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1443 AMY AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7034
Mailing Address - Country:US
Mailing Address - Phone:865-466-0970
Mailing Address - Fax:
Practice Address - Street 1:399 DOVER RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4133
Practice Address - Country:US
Practice Address - Phone:865-466-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-17
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000059441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical