Shleena Bridget Overcast, B.A.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · MC Minnville, TN

NPI 1124156203 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124156203
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
199 Pioneer LN
MC Minnville, TN 37110-8425
Phone
(931) 668-8572
Fax
(931) 668-8572
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

199 Pioneer LN
MC Minnville, TN 37110-8425

Mailing address

1506 Royal TRL
Manchester, TN 37355-2684
Phone (931) 728-5759

Other providers in MC Minnville, TN

All providers in MC Minnville, TN · Addiction (Substance Use Disorder) Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.