ROSIE RETIC


Address: 6249 Scarletcrest Ln, Memphis, TN 38115-6411
Phone: 9014066277

ROSIE RETIC (NPI# 1407208648) 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) 1407208648
Entity Type Individual
Full Name ROSIE RETIC
Credential LADAC II
Practice Address 6249 Scarletcrest Ln
Memphis
TN 38115-6411
Practice Telephone 9014066277
Mailing Telephone 9014066277
Enumeration Date 2016-07-12
Last Update Date 2016-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1054 TN Behavioral Health & Social Service Providers

Office Location

Street Address 6249 SCARLETCREST LN
City MEMPHIS
State TN
Zip Code 38115-6411

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NPI Name Taxonomy Address Enumeration
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1114580776 Dee's Around The Clock Home Health Aide 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 2019-04-19
1679047476 Demetria S Summers Home Health 6099 Appletree, Suite35, Memphis, TN 38115 2019-01-15
1134698590 Patriot Healthcare of Tennessee, LLC Family Medicine 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 2018-11-15
1891293106 Decrese A Beverly Counselor 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 2018-02-01
1720597289 Frank A Taylor Jr. Nutritionist 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 2017-09-27
1255717260 Mary L Avery Social Worker 5563 Knight Arnold Rd., Memphis, TN 38115 2015-08-03
1104207166 Good Shepherd Medication Management Pharmacy 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 2015-06-16
1265811665 Good Shepherd Health Pharmacy 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 2015-05-19
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1013421130 Melvin Thomas Norman Jr. Counselor 119 Racine St Ste 105, Memphis, TN 38111-2729 2017-11-28
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
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Competitor

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City MEMPHIS
Zip Code 38115

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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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