| Whetstone Valley Stables Llc | |
|
3368 Murphy Ln Columbia TN 38401-5741 | |
| (931) 215-6863 | |
| (931) 381-2896 |
| Full Name | Whetstone Valley Stables Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3368 Murphy Ln, Columbia, Tennessee |
| Authorized Official Name and Position | Penny Jo Shoup (OWNER) |
| Authorized Official Contact | 9312156863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whetstone Valley Stables Llc 3370 Murphy Ln Columbia TN 38401-5741 Ph: (931) 215-6863 | Whetstone Valley Stables Llc 3368 Murphy Ln Columbia TN 38401-5741 Ph: (931) 215-6863 |
| NPI Number | 1861875908 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861875908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 14516 (Tennessee) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 14516 (Tennessee) | Primary |
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