Tate, Sheron D

Tate, Sheron D is an individual health care provider with primary practice located at 901 Highway 80 E , Clinton MS 39056-5244. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tate, Sheron D can be contacted via phone (601) 927-0188.

Contact Information

Primary practice address
901 Highway 80 E Clinton MS 39056-5244
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1770149148
LBN Legal business name Tate, Sheron D
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2019
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770149148 NPPES
Mississippi MEDICAID 02551264

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