| Shakti's Greenhouse Llc | |
|
8336 Macon Road Cordova TN 38018 | |
| (901) 277-8713 | |
| (901) 682-3049 |
| Full Name | Shakti's Greenhouse Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8336 Macon Road, Cordova, Tennessee |
| Authorized Official Name and Position | Shubi Shakti (CEO & MEDICAL DIRECTOR) |
| Authorized Official Contact | 9012778713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakti's Greenhouse Llc 8336 Macon Road Cordova TN 38018 Ph: (901) 277-8713 | Shakti's Greenhouse Llc 8336 Macon Road Cordova TN 38018 Ph: (901) 277-8713 |
| NPI Number | 1629816913 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629816913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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