SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER, LLC (NPI# 1386008753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386008753 |
Entity Type | Organization |
Organization Name | SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER, LLC |
Practice Address |
3568 Kearney Ave Memphis TN 38111-5743 |
Practice Telephone | 9015507867 |
Practice Fax Number | 9015297139 |
Mailing Telephone | 9015507867 |
Mailing Fax Number | 9015297139 |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |
Authorized Official Name | MARY ELIZABETH STATUM (OWNER/MEMBER) |
Authorized Official Telephone | 9015507867 |
Authorized Official Credential | LPC-MHSP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | LPC0000002198 | TN | Managed Care Organizations |
Street Address |
3568 KEARNEY AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38111-5743 |
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 | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1164895793 | Nursing Solutions | Point of Service | 4311 Fiske Valley Dr, Memphis, TN 38135-9273 | 2015-11-04 |
1184001588 | Kem's House Inc. | Point of Service | 3030 Covington Pike, Suite 241, Memphis, TN 38128-5048 | 2015-05-05 |
1679994198 | Customized Medical Needs | Point of Service | 8295 Tournament Dr, Ste 2, Memphis, TN 38125-8906 | 2013-12-31 |
1730481136 | Nft | Point of Service | 5350 Poplar Ave, Suite 430, Memphis, TN 38119-3699 | 2010-11-17 |
1710182696 | Carriage Court Memphis, LLC | Point of Service | 1645 W Massey Rd, Memphis, TN 38120-4219 | 2007-06-19 |
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1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
1508106741 | Vick Partners LLC | Point of Service | 905 Hamlet Dr, Murfreesboro, TN 37128-5297 | 2013-02-25 |
1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
1396032777 | Perfect Smiles Dental Center | Point of Service | 1210 Hazelwood Dr, Suite A, Smyrna, TN 37167-3964 | 2011-07-06 |
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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.