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NPI Code Detail

MEDICARE: MICHELLE WINER

MEDICARE: MICHELLE WINER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730788308
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE WINER
Provider Business Mailing Address
First Line : 1305 16TH AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2923
Country : US
Telephone Number : 615-601-2448
Fax Number :
Provider Business Practice Location Address
First Line : 1305 16TH AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2923
Country : US
Telephone Number : 615-601-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2020
Last Update Date : 10/23/2020

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Directions to “ MICHELLE WINER ” Practice Location

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