Mardrey Alicia Wade Kiles, LPC - Counselor in Memphis, TN

Mardrey Alicia Wade Kiles, LPC is a Counselor - Professional based in Memphis, Tennessee. Mardrey Alicia Wade Kiles is licensed to practice in Tennessee (license number 4255) and her current practice location is 5104 Stage Rd, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at (901) 646-1053.

NPI number for Mardrey Alicia Wade Kiles is 1316436439 and her current mailing address is 1788 Cheshunt Ln, Cordova, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316436439.

Contact Information

Mardrey Alicia Wade Kiles, LPC
5104 Stage Rd,
Memphis, TN 38134-3164
(901) 646-1053
(901) 424-9078

Map and Direction


Healthcare Provider's Profile

Full NameMardrey Alicia Wade Kiles
GenderFemale
SpecialityCounselor - Professional
Location5104 Stage Rd, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316436439
  • Provider Enumeration Date: 05/03/2018
  • Last Update Date: 08/26/2024

Medical Identifiers

Medical identifiers for Mardrey Alicia Wade Kiles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316436439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 4255 (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. Mardrey Alicia Wade Kiles 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
Mardrey Alicia Wade Kiles, LPC
1788 Cheshunt Ln,
Cordova, TN 38016-3507

Ph: (901) 870-8682
Mardrey Alicia Wade Kiles, LPC
5104 Stage Rd,
Memphis, TN 38134-3164

Ph: (901) 646-1053

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