GLEN MATTHEW STAMPS JR.


Address: 5583 Murray Ave Ste 207, Memphis, TN 38119
Phone: 9015902193

GLEN MATTHEW STAMPS JR. (NPI# 1396279220) 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) 1396279220
Entity Type Individual
Full Name GLEN MATTHEW STAMPS JR.
Credential LPC-MHSP
Practice Address 5583 Murray Ave Ste 207
Memphis
TN 38119
Mailing Address 5583 Murray Ave Ste 207
Memphis
TN 38119-0807
Practice Telephone 9015902193
Mailing Telephone 9015902193
Enumeration Date 2017-04-18
Last Update Date 2018-07-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 3869 TN Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
3869 TN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
560 Colonial Rd, Suite #201, Memphis, TN 381174019 9013103911

Office Location

Street Address 5583 MURRAY AVE STE 207
City MEMPHIS
State TN
Zip Code 38119

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748854 Kristen Hoover Counselor 4515 Poplar Ave Ste 305, Memphis, TN 38117-7507 2020-10-26
1609473966 Ashley N. Thomas Counselor 4189 Robert Everett Cv Apt 2, Memphis, TN 38111-7437 2020-10-08
1952918617 Kate Mallory Counselor 240 Madison Ave Ste 601, Memphis, TN 38103-2770 2020-09-28
1174134597 James Rogers Counselor 100 Ball Hall, Memphis, TN 38152-3502 2020-08-10
1952911455 Brianna Amaba Counselor 3675 Alumni Ave, Memphis, TN 38152-0001 2020-08-09
1164032645 Lauren Taylor Riddick Counselor 1957 Jefferson Ave, Memphis, TN 38104-2705 2020-08-09
1063022671 Sedaria L Williams Counselor 1242 Woodbury St, Memphis, TN 38111-3944 2020-08-07
1437768264 Rebecca Mclaurin Maddux Counselor 4937 William Arnold Rd, Memphis, TN 38117-4237 2020-07-28
1578181780 Jacqueline Yvette Reid Counselor 2924 Walnut Grove Rd Ste 4, Memphis, TN 38111-2719 2020-07-14
1225653876 Michelle Leigh Cooper Counselor 1255 Lynnfield St Ste 232, Memphis, TN 38119-5185 2020-06-09
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Competitor

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City MEMPHIS
Zip Code 38119

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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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