MYRA LYN BENNETT (NPI# 1790901171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790901171 |
| Entity Type | Individual |
| Full Name | MYRA LYN BENNETT |
| Credential | LCPT |
| Practice Address |
5350 Poplar Ave Ste 730 Memphis TN 38119-3697 |
| Practice Telephone | 9016835658 |
| Practice Fax Number | 9016841277 |
| Mailing Telephone | 9016835658 |
| Mailing Fax Number | 9016841277 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
0022 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038444 | Myra Jean Bennett | Behavior Technician | 5500 Murrell Rd, Melbourne, FL 32940-6700 | 2019-05-16 |
| 1528508645 | Myra Wood Bennett | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2017-03-08 |
| 1437443504 | Myra F Bennett | Counselor | 1106 Julie Ln, Powell, WY 82435-1632 | 2011-06-06 |
| Street Address |
5350 POPLAR AVE STE 730 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124192463 | Wayne C Hyatt | Counselor | 5350 Poplar Ave Ste 730, Memphis, TN 38119-3697 | 2006-11-20 |
| 1154547636 | Colleen Myers Bonadio | Counselor | 5350 Poplar Ave Ste 730, Memphis, TN 38119-3697 | 2007-04-17 |
| 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 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 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 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825590 | Charliss Mcmorris | Counselor | 2735 S Mendenhall Rd, Suite 8, Memphis, TN 38115-1556 | 2017-04-19 |
| 1508082843 | Lenn Harris Milam | Counselor | 1565 Overton Park Ave, Memphis, TN 38112-5136 | 2007-04-17 |
| 1942640982 | Janet Schaller | Counselor | 35 S Auburndale St, Memphis, TN 38104-3916 | 2013-07-03 |
| 1811213648 | Anita Harris | Counselor | 3810 Winchester Rd, Southeast Mhc, Memphis, TN 38118-6045 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168266 | Tresie Menise Lopez | Counselor | 366 New Byhalia Rd Ste 3a, Collierville, TN 38017-3718 | 2019-08-05 |
| 1578027728 | Jason Devon Milam | Counselor | 4277 Sandstone Dr, Antioch, TN 37013-2259 | 2019-01-22 |
| 1851808455 | David Spencer Thornton | Counselor | 7003 Chadwick Dr Ste 232, Brentwood, TN 37027-3224 | 2018-01-04 |
| 1780115782 | Brian Hooper | Counselor | 4525 Harding Road, Suite 221, Nashville, TN 37205-2119 | 2017-03-22 |
| 1558730903 | Clay Evans Boyd IIi | Counselor | 302 Sunset Dr Ste 103, Johnson City, TN 37604-2408 | 2015-09-16 |
| 1346625258 | Grief Aftercare Program | Counselor | 2501 Clarksville Pike, Suite 2517, Nashville, TN 37208-1059 | 2015-07-22 |
| 1477947026 | Desdamona Butler | Counselor | 1604 Westgate Cir Ste 240, Brentwood, TN 37027-8578 | 2015-03-21 |
| 1205226313 | Pamela Denise Poteat | Counselor | 333 Fann Rd, Nolensville, TN 37135 | 2015-01-27 |
| 1891183174 | Catherine Denise Kirkland | Counselor | 2670 Memorial Blvd Ste F, Murfreesboro, TN 37129-5134 | 2015-01-08 |
| 1285974246 | Yolanda Anjnette Robinson | Counselor | 111 Center Park Dr Ste 115, Knoxville, TN 37922-2121 | 2013-02-27 |
| Find all providers with the same taxonomy | ||||
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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.