Healthcare Provider Details

I. General information

NPI: 1740023480
Provider Name (Legal Business Name): HICKS CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7372 CREEK BEND DR
MEMPHIS TN
38125-3022
US

IV. Provider business mailing address

14662 SMOKEY LN
OLIVE BRANCH MS
38654-5553
US

V. Phone/Fax

Practice location:
  • Phone: 901-335-2436
  • Fax:
Mailing address:
  • Phone: 901-335-2436
  • Fax: 901-791-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MONIKA HICKS
Title or Position: OWNER
Credential:
Phone: 901-335-2436