|
| |
|
550 North Church Street Livingston TN 38570 | |
| (931) 403-3577 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 550 North Church Street, Livingston, Tennessee |
| Authorized Official Name and Position | David Sadler (OWNER) |
| Authorized Official Contact | 9314033577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
550 North Church Street Livingston TN 38570 Ph: (931) 403-3577 | 550 North Church Street Livingston TN 38570 Ph: (931) 403-3577 |
| NPI Number | 1700929205 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700929205 | NPI | - | NPPES |
| 5441089 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 553 (Tennessee) | Primary |
Cantadora Wellness Professional Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Court Sq, Livingston, TN 38570 Phone: 678-342-3883 | |