Individual provider · Type 1 NPI
Destiny Shea Shackleford
Mental Health Counselor · Hixson, TN
NPI number
1740944727
Active
Practice location
3010 Hamill Rd
Hixson, TN 37343-3322
Mailing address
107 Twin Hills Dr
Madison, TN 37115-2242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1740944727
Destiny Shea Shackleford's National Provider Identifier is 1740944727, issued on Oct 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hixson, TN. The record was last updated on Oct 26, 2021.