Healthcare Provider Details

I. General information

NPI: 1356282990
Provider Name (Legal Business Name): LEILA MORROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA ARNOLD

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5177 JEFFREY KEITH DRIVE
BARTLETT TN
38002
US

IV. Provider business mailing address

5177 JEFFREY KEITH DR
BARTLETT TN
38002-4730
US

V. Phone/Fax

Practice location:
  • Phone: 901-493-3314
  • Fax:
Mailing address:
  • Phone: 901-493-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: