Provider Demographics
NPI:1336808005
Name:CIMALA, EMILY ERIN
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ERIN
Last Name:CIMALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ERIC CT
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-4325
Mailing Address - Country:US
Mailing Address - Phone:615-838-0229
Mailing Address - Fax:
Practice Address - Street 1:105 ERIC CT
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-4325
Practice Address - Country:US
Practice Address - Phone:615-838-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health