Provider Demographics
NPI:1255799722
Name:CARLTON, ERIK L (DRPH, MS)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:L
Last Name:CARLTON
Suffix:
Gender:M
Credentials:DRPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 STAGE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3892
Mailing Address - Country:US
Mailing Address - Phone:901-303-8199
Mailing Address - Fax:
Practice Address - Street 1:6510 STAGE RD STE 3
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3892
Practice Address - Country:US
Practice Address - Phone:901-303-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1253106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist