Look up the most recent NPI and PECOS records

Soteria Counseling Pllc

(<Unavail>)

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Soteria Counseling Pllc 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
1922858323
Provider Type
Organization
Full Name
Soteria Counseling Pllc
Other Name
<Unavail>

Subpart
No
Enumeration Date
3/26/2024
Last Updated
10/24/2024

Contact Information

Practice Location

1455 Poplar Ave, Memphis, TN 38104-2934

(901) 462-4747

(901) 276-0225

Mailing Location

5516 Heritage Lake Cove, Memphis, TN 38109

(901) 605-0768

Unlisted Fax

Authorized Official

Cannon, John Clark (Ceo/Therapist)

(901) 462-4747

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Soteria Counseling Pllc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Taylor, Hugh

Campbell, Jennifer

Maiten, Renita

Vescoco, Annette

Henderson, Rachael

Williams, Marilyn G.

Irby, Kimery

Fisher, Kema Cris Marie

Harlee-Williams, Cynthia L

Abraham, Jane