TIARA SHACKLEFORD, PLLC

GREENSBORO, NC
NPI1922845692
Doing Business AsTOTAL VITALITY INTEGRATIVE HEALTH AND WELLNESS
Doing Business AsGREEN PASTURES BEHAVIORAL HEALTH AND WELLNESS
Entity TypeOrganization
Authorized ContactTIARA SHACKLEFORD
Owner/CEO
336-355-7958
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies363LF0000X Nurse Practitioner, Family
Enumeration Date2024-07-10
Last Update Date2024-07-10
Business Address
TIARA SHACKLEFORD, PLLC
1633 NEW GARDEN RD # 1055
GREENSBORO, NC 27410-2001
Phone number: 336-355-7958
Mailing Address
TIARA SHACKLEFORD, PLLC
1633 NEW GARDEN RD # 1055
GREENSBORO, NC 27410-2001
Phone number: