Provider Demographics
NPI:1740906718
Name:WELSH, CAROLENE JUNE (MA, NCC, LADAC II)
Entity type:Individual
Prefix:MS
First Name:CAROLENE
Middle Name:JUNE
Last Name:WELSH
Suffix:
Gender:F
Credentials:MA, NCC, LADAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-1120
Mailing Address - Country:US
Mailing Address - Phone:615-943-8827
Mailing Address - Fax:
Practice Address - Street 1:810 DOMINICAN DR STE 107
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1906
Practice Address - Country:US
Practice Address - Phone:615-943-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1538101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)