SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER LLC NPI 1386008753

NPI Information

SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER, LLC is a point of service in Memphis, TN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER, LLC NPI is 1386008753. The provider is registered as an organization entity type.

The provider's business location address is:

3568 KEARNEY AVE
MEMPHIS, TN
ZIP 38111-743
Phone: (901) 550-7867
Fax: (901) 529-7139

The provider's authorized official is Mary Elizabeth Statum .
The authorized official title is Owner/member and has the following contact phone number (901) 550-7867.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

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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