| Sianeh, Llc | |
|
4132 Chambord Dr Antioch TN 37013-3889 | |
| (615) 480-1561 | |
| Not Available |
| Full Name | Sianeh, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4132 Chambord Dr, Antioch, Tennessee |
| Authorized Official Name and Position | Korlu Mccainster (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6154801561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sianeh, Llc 4132 Chambord Dr Antioch TN 37013-3889 Ph: (615) 480-1561 | Sianeh, Llc 4132 Chambord Dr Antioch TN 37013-3889 Ph: (615) 480-1561 |
| NPI Number | 1730956400 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730956400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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