Provider Demographics
NPI:1851856694
Name:SADLER, CALVIN DEWAYNE (M ED)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:DEWAYNE
Last Name:SADLER
Suffix:
Gender:M
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BLUEGRASS COMMONS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2772
Mailing Address - Country:US
Mailing Address - Phone:615-348-5806
Mailing Address - Fax:
Practice Address - Street 1:105 BLUEGRASS COMMONS BLVD STE D
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2772
Practice Address - Country:US
Practice Address - Phone:615-348-5806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor