Healthcare Provider Details

I. General information

NPI: 1285540492
Provider Name (Legal Business Name): KIM JACOBSON ARNWINE LPC-MHSP (TEMP)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7947 PLAYERS FOREST DR STE 103
MEMPHIS TN
38119-9114
US

IV. Provider business mailing address

5548 NORMANDY RD
MEMPHIS TN
38120-1906
US

V. Phone/Fax

Practice location:
  • Phone: 901-756-5788
  • Fax:
Mailing address:
  • Phone: 901-756-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8554
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: