SPIRIT OF SERVICE COUNSELING & WELLNESS CENTER, LLC


Address: 3568 Kearney Ave, Memphis, TN 38111-5743
Phone: 9015507867

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service LPC0000002198 TN Managed Care Organizations

Office Location

Street Address 3568 KEARNEY AVE
City MEMPHIS
State TN
Zip Code 38111-5743

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093932766 Midtown Mental Center Point of Service 790 Bartlett Rd #28, Memphis, TN 38122 2007-04-20
1306399266 Brittanys Esther House Point of Service 3261 Clearbrook St, Memphis, TN 38118-4404 2016-07-27
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821617671 Master Remodelers LLC Point of Service 10820 Kingston Pike Ste 5, Knoxville, TN 37934-3065 2020-04-13
1477089910 Laser Aesthetics Body and Wellness Point of Service 9755 Highway 64, Suite 101, Arlington, TN 38002-8579 2017-05-03
1518499771 Tuesday and Company, Inc. Point of Service 502 N Garden St, Suite 104, Columbia, TN 38401-3238 2017-03-28
1134673437 Dearing Physical Medicine Point of Service 201 Rosa Helm Way, Franklin, TN 37067-8408 2016-08-04
1093110546 Blessed Homecare LLC Point of Service 219 Evergreen Cir, Hendersonville, TN 37075-2944 2014-10-27
1265854947 Parker & Parker Dds Pa Point of Service 111 S Weisgarber Rd, Knoxville, TN 37919-4928 2014-01-14
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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Competitor

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City MEMPHIS
Zip Code 38111

Improve Information

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Dataset Information

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.

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