MIDSOUTH MENTAL HEALTH LLC NPI 1366100158

NPI Information

MIDSOUTH MENTAL HEALTH LLC is a mental health counselor in Memphis, TN. MIDSOUTH MENTAL HEALTH LLC NPI is 1366100158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1331 UNION AVE STE 1000
MEMPHIS, TN
ZIP 38104-501
Phone: (901) 870-2727

The provider's authorized official is Tamika Davis .
The authorized official title is Director and has the following contact phone number (901) 870-2727.

The CLIA number assigned to this NPI record is 44D2234076 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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