MR. MELVIN THOMAS NORMAN JR. (NPI# 1013421130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013421130 |
| Entity Type | Individual |
| Full Name | MR. MELVIN THOMAS NORMAN JR. |
| Credential | BA/LADAC2/QCS/NCAC1/ |
| Practice Address |
119 Racine St Ste 105 Memphis TN 38111-2729 |
| Mailing Address |
119 Racine St Ste 103 Memphis TN 38111-2729 |
| Practice Telephone | 9012304047 |
| Practice Fax Number | 9014435089 |
| Mailing Telephone | 9012304047 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000000722 | TN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
722 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 054462778 | 05 |
| Street Address |
119 RACINE ST STE 105 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720552235 | For The People Counseling Services | Clinic/Center | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2019-01-17 |
| 1912482043 | For The People By The People | Meals | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1518441971 | Communityconnect | Counselor | 2555 Jeffries Cv, Memphis, TN 38133-5149 | 2018-09-21 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1740731058 | Eurika Showers | Counselor | 4539 Winchester Rd Ste 111, Memphis, TN 38118-5100 | 2016-10-21 |
| 1639629942 | Chelsi Mcknuckles | Counselor | 4539 Winchester Rd, Suite 101, Memphis, TN 38118-5100 | 2016-10-11 |
| 1154871580 | Brenda Lang | Counselor | 2204 Labelle St, Memphis, TN 38114-5461 | 2016-10-10 |
| 1982159315 | Mufid Abdullah | Counselor | 719 Lydgate Rd, Memphis, TN 38116-5418 | 2016-08-15 |
| 1407208648 | Rosie Retic | Counselor | 6249 Scarletcrest Ln, Memphis, TN 38115-6411 | 2016-07-12 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.