Healthcare Provider Details

I. General information

NPI: 1073443768
Provider Name (Legal Business Name): YOUR CHOICE SELECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 EAGLE ST
MURFREESBORO TN
37130-6028
US

IV. Provider business mailing address

3537 BOXELDER WAY
MURFREESBORO TN
37128-3989
US

V. Phone/Fax

Practice location:
  • Phone: 615-930-9731
  • Fax:
Mailing address:
  • Phone: 615-930-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: SARENA SANKARA
Title or Position: OWNER
Credential:
Phone: 615-930-9731