NPI Code Details Logo

NPI 1881504736

NPI 1881504736 : CALDER GLEN BEHAVIORAL HEALTH, PLLC : MEMPHIS, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1881504736
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CALDER GLEN BEHAVIORAL HEALTH, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/11/2026
-----------------------------------------------------
    Last Update Date     |    09/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    705 CYPRESS DR 
-----------------------------------------------------
    City                 |    MEMPHIS
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38112-1709
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    901-705-9818
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    116 AGNES RD STE 200 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37919-6306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PRACTITIONER
-----------------------------------------------------
    Name                 |     ADAM  NAYLOR 
-----------------------------------------------------
    Credential           |    LPC-MHSP, NCC
-----------------------------------------------------
    Telephone            |    901-705-9818
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.