Healthcare Provider Details

I. General information

NPI: 1134050818
Provider Name (Legal Business Name): A1 SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 SINGING TREES DR
MEMPHIS TN
38116-4347
US

IV. Provider business mailing address

243 ADAMS AVE
MEMPHIS TN
38103-1921
US

V. Phone/Fax

Practice location:
  • Phone: 901-201-8986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORIA ROBINSON
Title or Position: CEO/OWNER
Credential: JD
Phone: 901-201-8986