Provider Demographics
NPI:1578238390
Name:TUMBLIN, CHEMYEEKA LEBREIN
Entity Type:Individual
Prefix:
First Name:CHEMYEEKA
Middle Name:LEBREIN
Last Name:TUMBLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 LAUSANNE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8360
Mailing Address - Country:US
Mailing Address - Phone:912-592-9309
Mailing Address - Fax:
Practice Address - Street 1:3710 LAUSANNE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8360
Practice Address - Country:US
Practice Address - Phone:912-592-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health