MR. ALFRED DONNELL COUCH LADAC II NCACI ADS NPI 1417398447

NPI Information

NPI: 1417398447
Provider Name: MR. ALFRED DONNELL COUCH, LADAC II, NCACI, ADS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
ST. FRANCIS MED BLDG,LOEWENBERG BLDG, STE 406 6005 PARK
MEMPHIS, TN
ZIP 38119
Phone: (901) 566-9020
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MR. Alfred Donnell Couch, LADAC II, NCACI, ADS is an addiction (substance use disorder) counselor in Memphis, TN. MR. Alfred Donnell Couch, LADAC II, NCACI, ADS NPI is 1417398447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ST. FRANCIS MED BLDG,LOEWENBERG BLDG, STE 406 6005 PARK
MEMPHIS, TN
ZIP 38119
Phone: (901) 566-9020
Fax: (901) 366-4260

The NPI 1417398447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/6/2013 and was last updated on 12/6/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LDC0000000201	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health	L000000033783	TENNESSEE	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	L000000033783	TENNESSEE	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

NPI Synchronization or Removal

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