MEMPHIS FAMILY CONNECTION CENTER INC (NPI# 1669974317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669974317 |
| Entity Type | Organization |
| Organization Name | MEMPHIS FAMILY CONNECTION CENTER INC |
| Practice Address |
8350 Macon Rd Cordova TN 38018-8554 |
| Mailing Address |
2531 Shillingford Dr Memphis TN 38119-7820 |
| Practice Telephone | 9016141902 |
| Practice Fax Number | 9016141902 |
| Mailing Telephone | 9015741740 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | MYLISSA HORROCKS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9015741740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
8350 MACON RD |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-8554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376003418 | Elizabeth Parker Okoli | Counselor | 8350 Macon Rd, Cordova, TN 38018-8554 | 2019-03-24 |
| 1558868307 | Annie Cornell | Speech-Language Pathologist | 8350 Macon Rd, Cordova, TN 38018-8554 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166369 | Reyle Counseling, LLC | Counselor | 1148 Vickery Ln # 6, Cordova, TN 38016-1619 | 2019-07-16 |
| 1801456447 | Kiersten A Hawes | Counselor | 9706 Woodland Creek Ln, Cordova, TN 38018-3605 | 2019-06-17 |
| 1104329986 | Samantha I Richardson | Counselor | 52 Timber Creek Dr Ste 203, Cordova, TN 38018-4388 | 2018-03-17 |
| 1578926614 | Tekita Vonshia Forrest | Counselor | 6980 Parkbrook Ln, Cordova, TN 38018-7936 | 2016-04-04 |
| 1629474432 | Denise Brown | Counselor | 1148 Vickery Ln, Cordova, TN 38016-1619 | 2014-11-06 |
| 1346665478 | Shaundra Shaw | Counselor | 2210 Lake Springs Ln, Cordova, TN 38016-5328 | 2014-02-26 |
| 1811240088 | Tonja Brown | Counselor | 1165 Breezy Valley Dr, Cordova, TN 38018-6668 | 2012-10-24 |
| 1114182060 | Lauren E Noelker | Counselor | 1996 Northport Road, Apt 2, Cordova, TN 38016-3882 | 2008-07-21 |
| 1366624868 | Teri H. Mccann | Counselor | 890 N Houston Levee Rd, Cordova, TN 38018-6614 | 2007-11-27 |
| 1073639134 | Sandra L Garbuzinski | Counselor | 8130 Country Village Dr, Suite 102, Cordova, TN 38016-2087 | 2007-03-21 |
| Find all providers in CORDOVA | ||||
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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.