MEDICARE: INSIDE OUT COUNSELING & COACHING, LLC

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

General Provider Information

NPI Number	:	1467056101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIDE OUT COUNSELING & COACHING, LLC

Provider Business Mailing Address
First Line	:	3204 RUSKIN RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3216
Country	:	US
Telephone Number	:	901-830-9147
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 RUSKIN RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3216
Country	:	US
Telephone Number	:	901-830-9147
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	JERMAINE SHORTER
Credential	:	LPC-MHSP
Telephone Number	:	901-830-9147

Provider Enumeration Date	:	11/23/2020
Last Update Date	:	11/23/2020

Similar Medicare Providers

1912858986 — SHORTER
Practice Location Address:

3204 RUSKIN RD
MEMPHIS, TN
38134-3216

Practice Phone: 901-830-9147
Practice Fax:

1992860613 — DR. AJAY KESHAVLAL DAVE DDS
Practice Location Address:

3216 PARK AVE
MEMPHIS, TN
38111-3046

Practice Phone: 901-327-0003
Practice Fax: 901-327-1894

1689196560 — ELIZABETH JANE LOPEZ PHARMD
Practice Location Address:

1620 CENTURY CENTER PKWY STE 109
MEMPHIS, TN
38134-8849

Practice Phone: 901-385-3600
Practice Fax:

1689820417 — MISS ANGELIQUE VATOCO DILWORTH MA
Practice Location Address:

5909 SHELBY OAKS DR STE 100
MEMPHIS, TN
38134-7318

Practice Phone: 901-383-9193
Practice Fax: 901-383-8908

1124026794 — MRS. SUSAN JOYE LEE LPC-MHSP, RPT, SUP.
Practice Location Address:

6510 STAGE RD , SUITE 3
MEMPHIS, TN
38134-3892

Practice Phone: 901-488-3123
Practice Fax:

1841291499 — CHESAPEAKE INFUSION INC.
Practice Location Address:

2175 BUSINESS CENTER DR , SUITE 1 BUILDING C
MEMPHIS, TN
38134-5628

Practice Phone: 800-260-6667
Practice Fax:

Directions to “INSIDE OUT COUNSELING & COACHING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.