Healthcare Provider Details

I. General information

NPI: 1164540084
Provider Name (Legal Business Name): METHODIST HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 POPLAR AVE SUITE 730
MEMPHIS TN
38119-3699
US

IV. Provider business mailing address

5350 POPLAR AVE SUITE 730
MEMPHIS TN
38119-3699
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-5658
  • Fax: 901-684-1277
Mailing address:
  • Phone: 901-683-5658
  • Fax: 901-684-1277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIA JAMES
Title or Position: EAP DIRECTOR
Credential:
Phone: 901-683-5658