Provider Demographics
NPI:1366595746
Name:PFEIFER, CARMEN FAYE (MA, CRC, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:FAYE
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:MA, CRC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 HIGHWAY 51 N
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-1522
Mailing Address - Country:US
Mailing Address - Phone:901-476-6759
Mailing Address - Fax:901-476-5799
Practice Address - Street 1:1390 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-1522
Practice Address - Country:US
Practice Address - Phone:901-476-6759
Practice Address - Fax:901-476-5799
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000001438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161486OtherBCBS