1649833062 ILLUMINATE KETAMINE CENTER PLLC
Certified Registered Nurse Anesthetist
Active
Basic Information
- Organization Name
- ILLUMINATE KETAMINE CENTER PLLC
- Enumeration Date
- April 22, 2019
- Last Update
- March 3, 2021
- Authorized Official
- SHELIA BEASLEY CRNA
CO-OWNER/ PRESIDENT
Phone: (423) 765-0777
Practice Location
- Address
- 1936 BROOKSIDE DR STE E
KINGSPORT, TN 376604654 - Phone
- (423) 765-0777
Mailing Address
- Address
- 1936 BROOKSIDE DR STE E
KINGSPORT, TN 376604654 - Phone
- (423) 765-0777
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | No |
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Marriage & Family Therapist | 106H00000X | Marriage & Family Therapist | N/A | N/A | No |
| Infusion Therapy Clinic/Center Infusion Therapy | 261QI0500X | Clinic/Center | N/A | N/A | No |
| Certified Registered Nurse Anesthetist | 367500000X | Nurse Anesthetist, Certified Registered | N/A | N/A | Primary |
Frequently Asked Questions
What is ILLUMINATE KETAMINE CENTER PLLC's NPI number?
ILLUMINATE KETAMINE CENTER PLLC's NPI number is 1649833062.
Which doctor has NPI number 1649833062?
The doctor with NPI number 1649833062 is ILLUMINATE KETAMINE CENTER PLLC.
What is ILLUMINATE KETAMINE CENTER PLLC's practice address?
ILLUMINATE KETAMINE CENTER PLLC's practice address is 1936 BROOKSIDE DR STE E, KINGSPORT, TN, 376604654.
Which doctor practices at 1936 BROOKSIDE DR STE E, KINGSPORT, TN, 376604654?
ILLUMINATE KETAMINE CENTER PLLC practices at 1936 BROOKSIDE DR STE E, KINGSPORT, TN, 376604654.
What is ILLUMINATE KETAMINE CENTER PLLC's phone number?
ILLUMINATE KETAMINE CENTER PLLC's phone number is (423) 765-0777.
Who is (423) 765-0777?
(423) 765-0777 is the phone number for ILLUMINATE KETAMINE CENTER PLLC.
What is ILLUMINATE KETAMINE CENTER PLLC's specialty?
ILLUMINATE KETAMINE CENTER PLLC's specialty is Certified Registered Nurse Anesthetist.
What type of doctor is ILLUMINATE KETAMINE CENTER PLLC?
ILLUMINATE KETAMINE CENTER PLLC is a Certified Registered Nurse Anesthetist.
Is ILLUMINATE KETAMINE CENTER PLLC a Nurse Anesthetist, Certified Registered?
Yes, ILLUMINATE KETAMINE CENTER PLLC is a Nurse Anesthetist, Certified Registered.
Is ILLUMINATE KETAMINE CENTER PLLC still practicing?
Yes, ILLUMINATE KETAMINE CENTER PLLC is currently practicing.
Is ILLUMINATE KETAMINE CENTER PLLC accepting new patients?
ILLUMINATE KETAMINE CENTER PLLC may be accepting new patients. Please call their office at (423) 765-0777 to inquire about availability.
Is NPI 1649833062 still active?
Yes, NPI 1649833062 is currently active.
Where does ILLUMINATE KETAMINE CENTER PLLC practice?
ILLUMINATE KETAMINE CENTER PLLC practices in KINGSPORT, TN.