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Organization

COMMUNITY WELLNESS AND INTERVENTION

Active
Other names
COMMUNITY TENNESSEE
Organization subpart
No

Provider details

NPI number
Authorized official
SHEONKEI M GIVNER (OWNER)
(614) 500-4150
Entity
Organization

Contact information

Practice address
2615 MEDICAL CENTER PKWY STE 1560, MURFREESBORO, TN 37129-3758
(520) 524-6084
Mailing address
2615 MEDICAL CENTER PKWY STE 1560, MURFREESBORO, TN 37129-3758
(520) 524-6084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
251S00000X
Community/Behavioral Health Agency
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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