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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 560 Colonial Rd, Suite #201, Memphis, TN 381174019 | 9013103911 |
| Street Address |
5583 MURRAY AVE STE 207 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| 1598058075 | Jennifer Nguyen | Anesthesiology | 1068 Cresthaven, Suite 150, Memphis, TN 38119 | 2011-05-17 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 |
| 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.