| Capitol City Family Services | |
|
5100 Poplar Ave Ste 202 Memphis TN 38137-0202 | |
| (219) 331-4794 | |
| Not Available |
| Full Name | Capitol City Family Services |
|---|---|
| Speciality | Counselor |
| Location | 5100 Poplar Ave Ste 202, Memphis, Tennessee |
| Authorized Official Name and Position | Priscilla Smith (CEO) |
| Authorized Official Contact | 2193314794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol City Family Services 5100 Poplar Ave Ste 202 Memphis TN 38137-0202 Ph: (219) 331-4794 | Capitol City Family Services 5100 Poplar Ave Ste 202 Memphis TN 38137-0202 Ph: (219) 331-4794 |
| NPI Number | 1982225124 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982225124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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