SHERVETTA RENEE PORTER MA NPI 1922180983

NPI Information

NPI: 1922180983
Provider Name: SHERVETTA RENEE PORTER, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN
ZIP 37075
Phone: (615) 348-5806
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Shervetta Renee Porter, MA is a professional counselor in Hendersonville, TN. Shervetta Renee Porter, MA NPI is 1922180983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 COUNTRY CLUB DR STE 200
HENDERSONVILLE, TN
ZIP 37075-376
Phone: (615) 348-5806
Fax: (615) 285-8130

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		3685	TENNESSEE	No
2	101YP2500X	Counselor	Professional	3685	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q027516	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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