Shackleford, Destiny Shea

Shackleford, Destiny Shea is an individual health care provider with primary practice located at 3010 Hamill Rd , Hixson TN 37343-3322. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shackleford, Destiny Shea can be contacted via phone (615) 810-8180.

Contact Information

Primary practice address
3010 Hamill Rd Hixson TN 37343-3322
Phone: (615) 810-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740944727
LBN Legal business name Shackleford, Destiny Shea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2021
Last updated Oct 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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