Look up the most recent NPI and PECOS records

Christian Counseling And Consulting, Llc

Social Worker

Behavioral Health & Social Service Providers

1169 Jefferson Ave, Memphis, TN 38104-2221

PECOS Enrollment

Based on the most recent information from CMS, provider Christian Counseling And Consulting, Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1811299514
Provider Type
Organization
Full Name
Christian Counseling And Consulting, Llc

Subpart
No
Enumeration Date
12/1/2010
Last Updated
12/1/2010

Contact Information

Practice Location

1169 Jefferson Ave, Memphis, TN 38104-2221

(901) 528-1278

(901) 721-6044

Mailing Location

1120 Summer Springs Rd, Collierville, TN 38017-9403

(901) 528-1278

(901) 721-6044

Authorized Official

Bryant, Carolyn Junior (Chief Manager)

(901) 528-1278

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0463 Tennessee

Christian Counseling And Consulting, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Jones, Ella W.

Kelly, Deborah Lynn

Taylor-Mays, Jacquelyn Leatrice

Davis, Tamika

Hamlin, Julia Leann

Mcinnis, Anne Sager

Schultz, Emily K

Powell, Erica

Dept Of Veterans Affairs Medical Center

Holloway, Kelli Nicole