CLAYCON LLC NPI 1124310008

NPI Information

NPI: 1124310008
Provider Name: CLAYCON, LLC

Doing Business As: THE HEALING PATH PROGRAM FOR WOMEN

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5158 STAGE RD
SUITE 130
MEMPHIS, TN
ZIP 38134
Phone: (662) 280-5758
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CLAYCON, LLC is a mental health counselor in Memphis, TN. CLAYCON, LLC NPI is 1124310008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Healing Path Program For Women.

The provider's business location address is:

5158 STAGE RD
SUITE 130
MEMPHIS, TN
ZIP 38134-116
Phone: (662) 280-5758
Fax: (662) 280-5708

The provider's authorized official is Angie Garrett .
The authorized official title is Office Manager and has the following contact phone number (662) 280-5758.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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