| Stained Glass Collective, Pllc. | |
|
5819 Winding Ln Ste 105 Hixson TN 37343-4067 | |
| (423) 414-4903 | |
| Not Available |
| Full Name | Stained Glass Collective, Pllc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5819 Winding Ln Ste 105, Hixson, Tennessee |
| Authorized Official Name and Position | Sarah Herndon (OWNER) |
| Authorized Official Contact | 4234020126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stained Glass Collective, Pllc. 5819 Winding Ln Ste 105 Hixson TN 37343-4067 Ph: (423) 414-4903 | Stained Glass Collective, Pllc. 5819 Winding Ln Ste 105 Hixson TN 37343-4067 Ph: (423) 414-4903 |
| NPI Number | 1518851716 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2025 |
| Certification Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518851716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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