Individual
SHANNON REED PIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRS
Contact information
Practice address
15 CENTURY BLVD STE 307, NASHVILLE, TN 37214-3692
(615) 425-0220
Mailing address
15 CENTURY BLVD STE 307, NASHVILLE, TN 37214-3692
(615) 425-0220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
11807
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11807
STATE LICENSE
PA
Enumeration date
06/24/2020
Last updated
10/10/2025
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