Heal Memphis | |
3385 Airways Blvd Ste 204 Memphis TN 38116-3808 | |
(901) 249-4120 | |
(901) 666-1925 |
Full Name | Heal Memphis |
---|---|
Speciality | Social Worker |
Location | 3385 Airways Blvd Ste 204, Memphis, Tennessee |
Authorized Official Name and Position | Brandon Crishaun Ousley (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 9012494120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heal Memphis 3385 Airways Blvd Ste 204 Memphis TN 38116-3808 Ph: (901) 249-4120 | Heal Memphis 3385 Airways Blvd Ste 204 Memphis TN 38116-3808 Ph: (901) 249-4120 |
NPI Number | 1952136368 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 09/05/2024 |
Certification Date | 09/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952136368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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