MARDREY ALICIA WADE KILES (NPI# 1316436439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316436439 |
| Entity Type | Individual |
| Full Name | MARDREY ALICIA WADE KILES |
| Credential | LPC |
| Practice Address |
4440 Bishop Hills Dr Memphis TN 38128-7427 |
| Practice Telephone | 9018708682 |
| Mailing Telephone | 9018708682 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4255 | TN | Behavioral Health & Social Service Providers |
| Street Address |
4440 BISHOP HILLS DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
| 1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
| 1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
| 1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
| 1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
| 1801399191 | Crysta Michelle Nilsson | Counselor | 5118 Park Ave Ste 115, Memphis, TN 38117-5720 | 2018-03-13 |
| 1750897146 | Kelley Goodwin | Counselor | 2023 W Houston Way, Memphis, TN 38139-6933 | 2017-12-20 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 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.