NPI 1518244813

Mic's Place, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Antioch, TN

Practice location

Address: 8295 Tournament Dr STE 150, Antioch, TN 37013-3117
Phone: (615) 617-4173
Fax: (615) 413-7373
Mailing address: 8295 Tournament Dr STE 150, Memphis, TN 38125-8900

Authorised official

Name: Nicole L Barnes
Title: Director of Operations
Phone: (615) 617-4173

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Tennessee →

Registry record

NPI: 1518244813
Entity type: Organization
NPI issued: 15 Nov 2011
Record last updated: 8 Jan 2026

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.