MEDICARE: GUINN CONSULTING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	1041C0700X	Clinical Social Worker	LCSW3139	TN
3	101YM0800X	Mental Health Counselor	LPC1787	TN
4	251B00000X	Case Management Agency		TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083619803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUINN CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 901669
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38190-1669
Country	:	US
Telephone Number	:	901-948-4809
Fax Number	:	901-948-4809

Provider Business Practice Location Address
First Line	:	122 E NORWOOD AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38109-2333
Country	:	US
Telephone Number	:	901-948-4809
Fax Number	:	901-948-4809

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DWIGHT EUGENE GUINN
Credential	:	PH.D
Telephone Number	:	901-948-4809

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	09/11/2025

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Directions to “GUINN CONSULTING SERVICES ” Practice Location

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