Healthcare Provider Details

I. General information

NPI: 1013030030
Provider Name (Legal Business Name): CARMELLA ROSE GUY R.N., MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 LINDEN AVE
MEMPHIS TN
38126-2023
US

IV. Provider business mailing address

1015 N WILLETT ST
MEMPHIS TN
38107-2905
US

V. Phone/Fax

Practice location:
  • Phone: 901-577-0200
  • Fax:
Mailing address:
  • Phone: 901-725-7672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN0000052287
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN0000052287
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN0000052287
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: