Doctor Name: | STEVEN SCOTT SELLARS |
NPI Number: | 1639424260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 162 County Services Rd Suite 100 Ashland City, TN - 370151748 |
Business Phone Number: | 6154636168 |
Business Fax Number: | 6154636162 |
Mailing Address: | 527 Dixie Ln, PLEASANT VIEW |
State: | TN |
Postal Code: | 371467946 |
Phone Number: | 6153949335 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |