Organization · NPI-2

Community Connect Behavioral Health

Clinic/Center, Mental Health (Including Community Mental Health Center) · Memphis, TN

NPI number1487400024
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1487400024
Entity type
Organization (NPI-2)
Legal business name
Community Connect Behavioral Health
Organization subpart
No
Enumeration date
Apr 25, 2024
Certification date
Apr 25, 2024
Last updated
Apr 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
324500000X Substance Abuse Rehabilitation Facility––
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––

Practice location

3251 Drayton Woods Dr
Memphis, TN 38134-3213

Phone 901-644-9244

Mailing address

3251 Drayton Woods Dr
Memphis, TN 38134-3213

Phone 901-644-9244

Other practice locations

3040 Covington Pike
Memphis, TN 38128-5016

Phone 901-644-9244

Authorized official

Khelsea Walker
Executive Director
9016449244

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Memphis, TN