Healthcare Provider Details

I. General information

NPI: 1417357260
Provider Name (Legal Business Name): LENDING A HAND MINISTRIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 08/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 DR.MARTIN LUTHER KING DR.
MEMPHIS TN
38104
US

IV. Provider business mailing address

315 MARTIN LUTHER KING DR
MEMPHIS TN
38104
US

V. Phone/Fax

Practice location:
  • Phone: 901-827-0571
  • Fax: 800-594-5717
Mailing address:
  • Phone: 901-527-7774
  • Fax: 180-059-4571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10000000149991
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1000000014991
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1000000014991
License Number StateTN

VIII. Authorized Official

Name: GEORGE CAMPBELL
Title or Position: EXECUTIVE DIRECTOR
Credential: TREATMENT SPECIALIST
Phone: 901-827-0571