| Behavioral Healthcare Center At Memphis, Llc | |
|
1505 N Second Street Memphis TN 38107 | |
| (731) 847-6343 | |
| (731) 847-4201 |
| Full Name | Behavioral Healthcare Center At Memphis, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1505 N Second Street, Memphis, Tennessee |
| Authorized Official Name and Position | Robin F Bradley (SECRETARY) |
| Authorized Official Contact | 6155958383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Center At Memphis, Llc Po Box 10 Parsons TN 38363-0010 Ph: (731) 847-6343 | Behavioral Healthcare Center At Memphis, Llc 1505 N Second Street Memphis TN 38107 Ph: (731) 847-6343 |
| NPI Number | 1235516097 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 4385945286 |
|---|---|
| Medicare Enrollment ID | O20151218000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235516097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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