Healthcare Provider Details

I. General information

NPI: 1457263196
Provider Name (Legal Business Name): ALMA WELLNESS ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6373 N QUAIL HOLLOW RD STE 101
MEMPHIS TN
38120-1405
US

IV. Provider business mailing address

6373 N QUAIL HOLLOW RD STE 101
MEMPHIS TN
38120-1405
US

V. Phone/Fax

Practice location:
  • Phone: 901-871-0170
  • Fax: 901-871-0353
Mailing address:
  • Phone: 901-871-0170
  • Fax: 901-871-0353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAULETTE DICKERSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 901-871-0170