Shera Thiele | |
2711 Murfreesboro Pike Suite 100 Antioch TN 37013-2000 | |
(615) 361-0052 | |
Not Available |
Full Name | Shera Thiele |
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Speciality | Counselor - Professional |
Location | 2711 Murfreesboro Pike, Antioch, Tennessee |
Authorized Official Name and Position | Shera H Thiele (CLINICAL THERAPIST) |
Authorized Official Contact | 6153610052 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shera Thiele 2711 Murfreesboro Pike Suite 100 Antioch TN 37013-2000 Ph: (615) 361-0052 | Shera Thiele 2711 Murfreesboro Pike Suite 100 Antioch TN 37013-2000 Ph: (615) 361-0052 |
NPI Number | 1164811055 |
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Provider Enumeration Date | 01/14/2015 |
Last Update Date | 01/14/2015 |
Identifier | Type | State | Issuer |
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1164811055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2216 (Tennessee) | Primary |
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