Hamm & Blackstock Pllc

LBN: Iac Associates Pllc
Hamm & Blackstock Pllc is an health care organization with primary practice located at 6401 Poplar Ave Ste 500 , Memphis TN 38119-4808. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Iac Associates Pllc can be contacted via phone (901) 746-9438, or through Mahoney, Marina Jo via phone (951) 560-2877.

Contact Information

Primary practice address
6401 Poplar Ave Ste 500 Memphis TN 38119-4808
Phone: (901) 746-9438
Fax: (941) 746-9331
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Marina Jo
Phone: (951) 560-2877

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1487126272
LBN Legal business name Iac Associates Pllc
DBA Doing business as Hamm & Blackstock Pllc
Authorized official Mahoney, Marina Jo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2018
Last updated Jun 10th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487126272 NPPES
Tennessee MEDICAID Q048108
Tennessee MEDICAID 03401509

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