Thacker, Gianna Wuerl
Thacker, Gianna Wuerl is an individual health care provider with primary practice located at 212 Overlook Cir Ste 102B , Brentwood TN 37027-5396. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thacker, Gianna Wuerl can be contacted via phone (678) 907-4501.Contact Information
Primary practice address
212 Overlook Cir Ste 102B
Brentwood TN 37027-5396
Phone: (678) 907-4501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0000005908 | Tennessee |
Profile Details
| NPI number | 1447395231 |
|---|---|
| LBN Legal business name | Thacker, Gianna Wuerl |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Mar 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447395231 | NPPES |
| Georgia | Other | 60054 | AETNA |
| Georgia | MEDICAID | 928870415A | AETNA |
| Georgia | Other | 9344540 | AETNA |
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