NPI 1003371667

Jamie Ray Pettit, EDDLPCMHSP

Practitioner Professional Counselor Memphis, TN

Practice location

Address: 6401 Poplar Ave STE 500, Memphis, TN 38119-4808
Phone: (901) 746-9438
Fax: (901) 410-4536
Mailing address: PO Box 497, Augusta, AR 72006-0497

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2300 (TN)

Other Counselor providers in Tennessee →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2300 (TN)

Registry record

NPI: 1003371667
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2019
Record last updated: 12 Feb 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.