Healthcare Provider Details
I. General information
NPI: 1881504736
Provider Name (Legal Business Name): CALDER GLEN BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 CYPRESS DR
MEMPHIS TN
38112-1709
US
IV. Provider business mailing address
116 AGNES RD STE 200
KNOXVILLE TN
37919-6306
US
V. Phone/Fax
- Phone: 901-705-9818
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
NAYLOR
Title or Position: OWNER/PRACTITIONER
Credential: LPC-MHSP, NCC
Phone: 901-705-9818