Organization
STEWART MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHARON LOUISE STEWART APRN (OWNER CLINICIAN)
(615) 384-7111
Entity
Organization
Contact information
Practice address
105 5TH AVE W, SUITE 103, SPRINGFIELD, TN 37172-2436
(615) 384-7111
(615) 384-5577
Mailing address
105 5TH AVE W, SUITE 103, SPRINGFIELD, TN 37172-2436
(615) 384-7111
(615) 384-5577
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513631
—
TN
Enumeration date
02/19/2007
Last updated
11/28/2012
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