| Black Holdings Group,llc | |
|
8000 Centerview Pkwy Suite 104 Cordova TN 38018-4227 | |
| (901) 755-6280 | |
| (901) 755-7897 |
| Full Name | Black Holdings Group,llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 8000 Centerview Pkwy, Cordova, Tennessee |
| Authorized Official Name and Position | Audria Kaye Black (PHYSICIAN) |
| Authorized Official Contact | 9017556280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Holdings Group,llc Po Box 38175 Germantown TN 38183-0175 Ph: (901) 755-6280 | Black Holdings Group,llc 8000 Centerview Pkwy Suite 104 Cordova TN 38018-4227 Ph: (901) 755-6280 |
| NPI Number | 1568861037 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568861037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 36627 (Tennessee) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 36627 (Tennessee) | Primary |
Julie Demarco,bcba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8284 Clinton Way Ln, Cordova, TN 38018 Phone: 901-283-6455 Fax: 901-757-1146 | |
Kristy Love Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Spruce Glen Dr, Cordova, TN 38018 Phone: 901-604-0307 | |
Pathways To Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 65 Germantown Ct Ste 207, Cordova, TN 38018 Phone: 901-878-3332 Fax: 901-350-7790 | |
Memphis Neurofeedback Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 758 Walnut Knoll Ln, Suite 101, Cordova, TN 38018 Phone: 901-624-0100 Fax: 901-624-0778 | |
Mind And Body Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1176 Vickery Ln Ste 100, Cordova, TN 38016 Phone: 901-737-1992 | |
Reyle Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Vickery Ln # 6, Cordova, TN 38016 Phone: 901-236-9385 Fax: 901-552-3204 | |
Behavior Intervention & Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1951 Chartridge Dr, Cordova, TN 38016 Phone: 901-606-6352 |