| Stewart Mental Health | |
|
105 5th Ave W Suite 103 Springfield TN 37172-2436 | |
| (615) 384-7111 | |
| (615) 384-5577 |
| Full Name | Stewart Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 5th Ave W, Springfield, Tennessee |
| Authorized Official Name and Position | Sharon Louise Stewart (OWNER CLINICIAN) |
| Authorized Official Contact | 6153847111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Mental Health 105 5th Ave W Suite 103 Springfield TN 37172-2436 Ph: (615) 384-7111 | Stewart Mental Health 105 5th Ave W Suite 103 Springfield TN 37172-2436 Ph: (615) 384-7111 |
| NPI Number | 1477697514 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 5991898918 |
|---|---|
| Medicare Enrollment ID | O20070907000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477697514 | NPI | - | NPPES |
| 1513631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8127 (Tennessee) | Primary |
| Provider Name | Sharon L Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407823354 PECOS PAC ID: 4284691809 Enrollment ID: I20041215000803 |
| Provider Name | Shelley M Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497015861 PECOS PAC ID: 0648436048 Enrollment ID: I20120731000251 |
| Provider Name | Christie L Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306243779 PECOS PAC ID: 6406151943 Enrollment ID: I20160222002208 |
| Provider Name | Kenneth Edward Benning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235374117 PECOS PAC ID: 3274893797 Enrollment ID: I20180201000918 |
| Provider Name | Eric Ryan Avent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477178978 PECOS PAC ID: 3971928474 Enrollment ID: I20200730003222 |
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