Healthcare Provider Details

I. General information

NPI: 1245368083
Provider Name (Legal Business Name): NEW DIRECTIONS,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 SEMMES ST
MEMPHIS TN
38111-2202
US

IV. Provider business mailing address

642 SEMMES ST
MEMPHIS TN
38111-2202
US

V. Phone/Fax

Practice location:
  • Phone: 901-346-5497
  • Fax: 901-346-9209
Mailing address:
  • Phone: 901-346-5497
  • Fax: 901-346-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number0000000089
License Number StateTN

VIII. Authorized Official

Name: MR. ALBERT EDWIN JONES
Title or Position: CEO
Credential: MSSW
Phone: 901-346-5497