STACEY CHRISTINA SHINE (NPI# 1275833543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275833543 |
| Entity Type | Individual |
| Full Name | STACEY CHRISTINA SHINE |
| Practice Address |
125 Cool Springs Blvd Ste 270 Franklin TN 37067-6574 |
| Practice Telephone | 9012583895 |
| Mailing Telephone | 9012583895 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5019 | TN | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 W Watauga Ave, Johnson City, TN 376045621 | 4232322600 | 4234673644 |
| Street Address |
125 COOL SPRINGS BLVD STE 270 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37067-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598959983 | Grace A Bluerock | Social Worker | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2007-08-29 |
| 1902426331 | Meagan Lefebvre | Social Worker | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2020-04-27 |
| 1376180513 | Latisha Glaspie-harris | Counselor | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2019-12-06 |
| 1851811830 | 180 Health Partners, Inc | Case Management | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2017-06-21 |
| 1861845919 | Sepideh Pourhassani | Counselor | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2016-07-13 |
| 1922421767 | Rachel Janine Baker | Social Worker | 125 Cool Springs Blvd Ste 270, Franklin, TN 37067-6574 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580628 | Jennifer Patterson Juskowich | Physical Therapist | 101 International Drive, Franklin, TN 37067 | 2020-08-28 |
| 1841819505 | Kasar Findi | Nurse Practitioner | 2105 Eward Curd Lane, Nashville, TN 37067 | 2020-04-13 |
| 1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
| 1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
| 1467945402 | Steven A Roush | Dentist | 5040 Carothers Parkway, Ste 101, Franklin, TN 37067 | 2018-06-13 |
| 1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
| Find all providers in zip 37067 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566581 | Garapha Mezidor | Counselor | 2 Master Dr, Franklin, MA 02038-3052 | 2020-04-08 |
| 1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
| 1689209181 | With You Counseling Services, LLC | Counselor | 323 13th St, Franklin, PA 16323-1304 | 2020-03-05 |
| 1023656857 | Kristine Stanfield | Counselor | 504 Autumn Springs Ct Ste 4, Franklin, TN 37067-8278 | 2019-12-11 |
| 1427602093 | Jvb Counseling Inc | Counselor | 16 Cottage St Ste 3, Franklin, MA 02038-2250 | 2019-07-31 |
| 1033762844 | Kelly Marie Bourque | Counselor | 108 4th Ave S Ste 205, Franklin, TN 37064-2676 | 2019-07-20 |
| 1629639547 | Anthony Porter Owens | Counselor | 382 Natchez St, Franklin, TN 37064 | 2019-06-21 |
| 1386202943 | Seana Vernelson | Counselor | 133 E Palmer St Ste 20120, Franklin, NC 28734-3040 | 2019-05-30 |
| 1467913798 | Lora Carpenter | Counselor | 7851 Kaye Dr, Franklin, OH 45005-3825 | 2019-03-28 |
| 1639638091 | Barbara Wyer | Counselor | 109 Holiday Ct Ste 6, Franklin, TN 37067-3000 | 2019-03-15 |
| Find all providers in FRANKLIN | ||||
Please comment or provide details below to improve the information on STACEY CHRISTINA SHINE.
| 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.