Individual
SHERVETTA RENEE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 COUNTRY CLUB DR STE 200, HENDERSONVILLE, TN 37075-4376
(615) 348-5806
(615) 285-8130
Mailing address
100 COUNTRY CLUB DR STE 200, HENDERSONVILLE, TN 37075-4376
(615) 348-5806
(615) 285-8130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3685
TN
101YP2500X
Professional Counselor
Primary
3685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027516
—
TN
Enumeration date
10/19/2006
Last updated
09/03/2019
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