Individual
MRS. WILLETTE P. CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., LPC-MHSP
Contact information
Practice address
279 CLEAR SKY CT STE D, CLARKSVILLE, TN 37043-5946
(931) 237-4341
(931) 451-1347
Mailing address
751 MCCLAIN DR, CLARKSVILLE, TN 37040-5552
(931) 217-0947
(931) 451-1347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3352
TN
101YP2500X
Professional Counselor
Primary
3352
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032951
—
TN
Enumeration date
05/08/2015
Last updated
08/19/2024
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