Mr Alfred Donnell Couch Sr, LADAC II, NCACI, ADS - Counselor in Memphis, TN

Mr Alfred Donnell Couch Sr, LADAC II, NCACI, ADS is a Counselor - Addiction (substance Use Disorder) based in Memphis, Tennessee. Mr Alfred Donnell Couch Sr is licensed to practice in Tennessee (license number L000000033783) and his current practice location is St. Francis Med Bldg,loewenberg Bldg, Ste 406 6005 Park, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 566-9020.

NPI number for Mr Alfred Donnell Couch Sr is 1417398447 and his current mailing address is 6005 Park Ave Ste 406, Memphis, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417398447.

Contact Information

Mr Alfred Donnell Couch Sr, LADAC II, NCACI, ADS
St. Francis Med Bldg,loewenberg Bldg, Ste 406 6005 Park,
Memphis, TN 38119
(901) 566-9020
(901) 366-4260

Map and Direction


Healthcare Provider's Profile

Full NameMr Alfred Donnell Couch Sr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
LocationSt. Francis Med Bldg,loewenberg Bldg, Ste 406 6005 Park, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417398447
  • Provider Enumeration Date: 07/06/2013
  • Last Update Date: 12/06/2023

Medical Identifiers

Medical identifiers for Mr Alfred Donnell Couch Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417398447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LDC0000000201 (Tennessee)Secondary
101YM0800XCounselor - Mental Health L000000033783 (Tennessee)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) L000000033783 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alfred Donnell Couch Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Alfred Donnell Couch Sr, LADAC II, NCACI, ADS
6005 Park Ave Ste 406,
Memphis, TN 38119-5214

Ph: (901) 428-4287
Mr Alfred Donnell Couch Sr, LADAC II, NCACI, ADS
St. Francis Med Bldg,loewenberg Bldg, Ste 406 6005 Park,
Memphis, TN 38119

Ph: (901) 566-9020

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