NPI 1386008753

Spirit of Service Counseling & Wellness Center, LLC

Organisation Point of Service Memphis, TN

Practice location

Address: 3568 Kearney Ave, Memphis, TN 38111-5743
Phone: (901) 550-7867
Fax: (901) 529-7139

Authorised official

Name: Mary Elizabeth Statum
Title: Owner/Member
Phone: (901) 550-7867

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence LPC0000002198 (TN)

Other Point of Service providers in Tennessee →

Registry record

NPI: 1386008753
Entity type: Organization
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.