SASHA SELF


Address: 2100 Chapman Rd Ste 115, Chattanooga, TN 37421-1646
Phone: 4237025508

SASHA SELF (NPI# 1578065322) 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) 1578065322
Entity Type Individual
Full Name SASHA SELF
Practice Address 2100 Chapman Rd Ste 115
Chattanooga
TN 37421-1646
Mailing Address 9349 Bennie Ln
Ooltewah
TN 37363-8968
Practice Telephone 4237025508
Mailing Telephone 4237025508
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 2100 CHAPMAN RD STE 115
City CHATTANOOGA
State TN
Zip Code 37421-1646

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1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114533858 Sarah Anne May Counselor 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 2020-09-18
1497256150 Brian Clinton Counselor 5613 Tennessee Ave, Chattanooga, TN 37409-2331 2018-02-27
1114463353 Christopher Harris Counselor 7429 Shallowford Rd, Chattanooga, TN 37421-2629 2017-01-11
1750741088 Weena Rivera Counselor 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 2016-02-29
1437518206 Kristin Smith Counselor 3810 Lamar Ave, Chattanooga, TN 37415-4006 2016-02-22
1265831499 Eric Ralston Counselor 8213 Igou Gap Rd, Chattanooga, TN 37421-2708 2014-08-13
1609210624 William Knowles Dwyer Counselor 301 Belvoir Ave, Chattanooga, TN 37411-5104 2013-04-21
1427397900 Bevin Gracy Counselor 3069 Broad St Ste 7d, Chattanooga, TN 37408 2013-02-04
1225308000 Juliet Nicole Thomas Counselor 3421 Dayton Blvd, Chattanooga, TN 37415-4626 2012-01-10
1043599525 Susan Dendtler Counselor 1406 Chamberlain Ave, Chattanooga, TN 37404-2909 2011-08-15
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Competitor

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City CHATTANOOGA
Zip Code 37421

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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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