| Apple Seeds, Inc. | |
|
335 N Ericson Rd Cordova TN 38018-1025 | |
| (901) 596-2792 | |
| Not Available |
| Full Name | Apple Seeds, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 335 N Ericson Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Tenikki Sesley (FOUNDER/CEO) |
| Authorized Official Contact | 9015962792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Seeds, Inc. 335 N Ericson Rd Cordova TN 38018-1025 Ph: (901) 596-2792 | Apple Seeds, Inc. 335 N Ericson Rd Cordova TN 38018-1025 Ph: (901) 596-2792 |
| NPI Number | 1205429438 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Medicare PECOS PAC ID | 2163897984 |
|---|---|
| Medicare Enrollment ID | O20230410001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205429438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Laura Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679761951 PECOS PAC ID: 8729316328 Enrollment ID: I20190820003952 |
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