Stewart, Shacreta

Stewart, Shacreta is an individual health care provider with primary practice located at 1125 Schilling Blvd E Ste 112 , Collierville TN 38017-7078. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stewart, Shacreta can be contacted via phone (833) 825-5246.

Contact Information

Primary practice address
1125 Schilling Blvd E Ste 112 Collierville TN 38017-7078
Phone: (833) 825-5246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1710550702
LBN Legal business name Stewart, Shacreta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 5 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 1710550702 NPPES
Other 0 NOT REQUIRED

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