Healthcare Provider Details

I. General information

NPI: 1942925938
Provider Name (Legal Business Name): EDUCATION AND COUNSELING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 KIRBY WHITTEN RD STE 201-2
BARTLETT TN
38134-2893
US

IV. Provider business mailing address

6025 STAGE RD STE 42-346
BARTLETT TN
38134-8374
US

V. Phone/Fax

Practice location:
  • Phone: 901-443-7353
  • Fax: 901-531-8342
Mailing address:
  • Phone: 901-443-7353
  • Fax: 901-531-8342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TANIKA MICHELLE JOHNSON
Title or Position: OWNER, FOUNDER, LICENSED THERAPIST
Credential: LPC, LMHC, NCC
Phone: 901-443-7353