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NPI Code Detail

MEDICARE: KRISHANA OVERSTREET LCSW

MEDICARE:   KRISHANA  OVERSTREET  LCSW
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
31041C0700XClinical Social Worker
4101YP2500XProfessional Counselor
51041S0200XSchool Social Worker
6106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1447912654
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHANA OVERSTREET LCSW
Provider Business Mailing Address
First Line : 5747 NANJACK CIR
Second Line :
City : MEMPHIS
State : TN
Zip : 38115-2058
Country : US
Telephone Number : 615-412-5185
Fax Number : 615-583-1996
Provider Business Practice Location Address
First Line : 5747 NANJACK CIR
Second Line :
City : MEMPHIS
State : TN
Zip : 38115-2058
Country : US
Telephone Number : 615-412-5185
Fax Number : 615-583-1996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2021
Last Update Date : 02/24/2026

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Directions to “ KRISHANA OVERSTREET LCSW” Practice Location

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