Healthcare Provider Details

I. General information

NPI: 1922937887
Provider Name (Legal Business Name): THE VILLAGE COMMUNITY DEVELOPMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7361 ABERCROMBIE LN
MEMPHIS TN
38119-8947
US

IV. Provider business mailing address

7361 ABERCROMBIE LN
MEMPHIS TN
38119-8947
US

V. Phone/Fax

Practice location:
  • Phone: 901-240-6694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAMARA L JONES
Title or Position: CO-OWNER
Credential: PT, MS
Phone: 901-240-6694