Doctor Name: | SHACARRA BLOUNT |
NPI Number: | 1386058816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | |
Business Practice Address: | 1820 Memorial Dr. Clarksville, TN - 37043 |
Business Phone Number: | 9319337200 |
Business Fax Number: | 9318962075 |
Mailing Address: | 212 Bob White Dr., CLARKSVILLE |
State: | TN |
Postal Code: | 37042 |
Phone Number: | 9313781657 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |