Porter, Shervetta Renee

Porter, Shervetta Renee is an sole proprietor health care provider with primary practice located at 100 Country Club Dr Ste 200 , Hendersonville TN 37075-4376. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Porter, Shervetta Renee can be contacted via phone (615) 348-5806.

Contact Information

Primary practice address
100 Country Club Dr Ste 200 Hendersonville TN 37075-4376
Phone: (615) 348-5806
Fax: (615) 285-8130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3685 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 3685 Tennessee

Profile Details

NPI number 1922180983
LBN Legal business name Porter, Shervetta Renee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Sep 3rd, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922180983 NPPES
Tennessee MEDICAID Q027516

Popular Providers