Provider Demographics
NPI:1265155170
Name:KERLIN, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KERLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:BERGERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2020 BEECH AVE APT D11
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2173
Mailing Address - Country:US
Mailing Address - Phone:985-630-1893
Mailing Address - Fax:
Practice Address - Street 1:2020 BEECH AVE APT D11
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2173
Practice Address - Country:US
Practice Address - Phone:985-630-1893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty