SASHA SELF (NPI# 1578065322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2100 CHAPMAN RD STE 115 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| 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 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on SASHA SELF.
| 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.