MEDICARE: JOSHUA'S HOUSE CENTER

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	101YM0800X	Mental Health Counselor		TN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		TN

General Provider Information

NPI Number	:	1265564454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSHUA'S HOUSE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 140596
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38114-0596
Country	:	US
Telephone Number	:	901-473-9221
Fax Number	:	901-405-1319

Provider Business Practice Location Address
First Line	:	1656 LAMAR AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38114-1642
Country	:	US
Telephone Number	:	901-473-9221
Fax Number	:	901-405-1319

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RHONDA FERGUSON
Credential	:	MASTER'S LEVEL
Telephone Number	:	901-473-9221

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	09/11/2025

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Directions to “JOSHUA'S HOUSE CENTER ” Practice Location

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