Organization · NPI-2
Affirming Change Counseling Services, PLLC
Counselor, Mental Health · Memphis, TN
NPI number1144943010
StatusActive
Last updated in NPPESOct 1, 2022
Details
- NPI
- 1144943010
- Entity type
- Organization (NPI-2)
- Legal business name
- Affirming Change Counseling Services, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2022
- Certification date
- Oct 1, 2022
- Last updated
- Oct 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1331 Union Ave Ste 1000Memphis, TN 38104-7501
Phone 901-485-4433
Mailing address
8061 Meadowlark PlBartlett, TN 38133-2822
Phone 901-734-4174
Authorized official
Shaundra B Hardaway
Practice Owner
9017344174
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