MID-SOUTH HEALTHNET (NPI# 1821479254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821479254 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HEALTHNET |
| Practice Address |
5909 Shelby Oaks Drive Suite 100 Memphis TN 38134 |
| Practice Telephone | 9013839193 |
| Practice Fax Number | 9013839195 |
| Mailing Telephone | 9013839193 |
| Mailing Fax Number | 9013839195 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | MR. MARLIN ANGELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9013839193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | TN | Residential Treatment Facilities | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q013314 | 05 |
| Street Address |
5909 SHELBY OAKS DRIVE SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1831596204 | Sharlene Williams | Counselor | 3225 Kirby Whitten, Suite 7, Bartlett, TN 38134 | 2014-12-01 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1548730914 | Giles Therapeutic Solutions | Community/Behavioral Health | 4234 Sunnyslope Dr, Memphis, TN 38141-7063 | 2018-11-28 |
| 1184165953 | Dr.lopez Spiritual Family Counseling | Community/Behavioral Health | 4615 Meadow Cliff Dr, Memphis, TN 38125-3274 | 2017-03-13 |
| 1528519634 | Bruce Professional Counseling Services | Community/Behavioral Health | 8159 Green Belt Dr, Memphis, TN 38125-4618 | 2016-10-24 |
| 1336690916 | Ameer Homecare Services,llc | Community/Behavioral Health | 119 Racine St, Suite 103, Memphis, TN 38111-2704 | 2016-10-19 |
| 1023566999 | Up-ward Aba | Community/Behavioral Health | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2016-09-20 |
| 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.