Marks, Shirley

Marks, Shirley is an individual health care provider with primary practice located at 431 Nissan Dr Ste 202 , Smyrna TN 37167-4365. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Marks, Shirley can be contacted via phone (615) 462-7392.

Contact Information

Primary practice address
431 Nissan Dr Ste 202 Smyrna TN 37167-4365
Phone: (615) 462-7392
Fax: (615) 267-0020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LDC0000000573 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMT0000001090 Tennessee

Profile Details

NPI number 1215477864
LBN Legal business name Marks, Shirley
Credentials LADAC, LMFT, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Aug 17th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215477864 NPPES
Tennessee MEDICAID Q033210

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