Individual
SHAINE TALIA MALEKGOODAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MSHP
Contact information
Practice address
131 INDIAN LAKE RD STE 102, HENDERSONVILLE, TN 37075-3884
(615) 474-9012
Mailing address
131 INDIAN LAKE RD STE 102, HENDERSONVILLE, TN 37075-3884
(615) 474-9012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3368
TN
Other
Enumeration date
11/11/2010
Last updated
10/26/2021
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