Individual
SHAYE PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
210 25TH AVE N STE 1220, NASHVILLE, TN 37203-1640
(517) 401-0056
Mailing address
2300 8TH AVE S APT 308, NASHVILLE, TN 37204-2470
(517) 401-0056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1572
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1572
TN LICENSE
TN
Enumeration date
11/27/2019
Last updated
11/27/2019
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