SHALETTA BORDERS


Address: 488 Marvin Parker Rd, Ozark, AL 36360-7204
Phone: 3363160462

SHALETTA BORDERS (NPI# 1306309398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306309398
Entity Type Individual
Full Name SHALETTA BORDERS
Practice Address 488 Marvin Parker Rd
Ozark
AL 36360-7204
Practice Telephone 3363160462
Mailing Telephone 3363160462
Enumeration Date 2019-04-08
Last Update Date 2019-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 488 MARVIN PARKER RD
City OZARK
State AL
Zip Code 36360-7204

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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1356788913 Jesse Reece Mitchell Counselor 149 Academy Dr, Hamilton, AL 35570-3015 2013-05-22
1508175498 Betty Jo Penton Counselor 103 W Tuskeena St, Wetumpka, AL 36092-2420 2010-09-27
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Competitor

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City OZARK
Zip Code 36360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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