| Stellar Inc | |
|
107 Holland St Shelbyville TN 37160-3927 | |
| (931) 680-4370 | |
| (931) 680-4370 |
| Full Name | Stellar Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 107 Holland St, Shelbyville, Tennessee |
| Authorized Official Name and Position | James M Reavis (PRESIDENT) |
| Authorized Official Contact | 6153474508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Inc Po Box 743 Lebanon TN 37088-0743 Ph: (931) 680-4370 | Stellar Inc 107 Holland St Shelbyville TN 37160-3927 Ph: (931) 680-4370 |
| NPI Number | 1346278934 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346278934 | NPI | - | NPPES |
| 89000954 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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