Individual
STACEY CHRISTINA SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 COOL SPRINGS BLVD STE 270, FRANKLIN, TN 37067-6574
(901) 258-3895
Mailing address
125 COOL SPRINGS BLVD STE 270, FRANKLIN, TN 37067-6574
(901) 258-3895
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5019
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/02/2010
Last updated
10/23/2020
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