Kingdom Ministries Counseling Center | |
8245 Cordova Rd Suite 100 Cordova TN 38016-2086 | |
(901) 507-4519 | |
(901) 881-6911 |
Full Name | Kingdom Ministries Counseling Center |
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Speciality | Social Worker - Clinical |
Location | 8245 Cordova Rd, Cordova, Tennessee |
Authorized Official Name and Position | Addie Hall Guinn (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9015074519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kingdom Ministries Counseling Center 8245 Cordova Rd Suite 100 Cordova TN 38016-2086 Ph: (901) 507-4519 | Kingdom Ministries Counseling Center 8245 Cordova Rd Suite 100 Cordova TN 38016-2086 Ph: (901) 507-4519 |
NPI Number | 1538351903 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 08/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538351903 | NPI | - | NPPES |
4136024 | Other | TN | BCBSTN |
600014 | Other | TN | MAGELLAN |
4147539 | Other | TN | BCBSTN |
599764 | Other | TN | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW0000003139 (Tennessee) | Primary |
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