Healthcare Provider Details

I. General information

NPI: 1083619803
Provider Name (Legal Business Name): GUINN CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 E NORWOOD AVE
MEMPHIS TN
38109-2333
US

IV. Provider business mailing address

PO BOX 901669
MEMPHIS TN
38190-1669
US

V. Phone/Fax

Practice location:
  • Phone: 901-948-4809
  • Fax: 901-948-4809
Mailing address:
  • Phone: 901-948-4809
  • Fax: 901-948-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC1787
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW3139
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateTN

VIII. Authorized Official

Name: DR. DWIGHT EUGENE GUINN
Title or Position: OWNER
Credential: PH.D
Phone: 901-948-4809