Motley, Gregory
Motley, Gregory is an individual health care provider with primary practice located at 1203 Poplar Ave Suite #5, Memphis TN 38104-7278. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Motley, Gregory can be contacted via phone (901) 728-5554.Contact Information
Primary practice address
1203 Poplar Ave Suite #5
Memphis TN 38104-7278
Phone: (901) 728-5554
Fax: (901) 728-6011
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 308 | Oklahoma |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C83434 | Tennessee |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5873 | Tennessee |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5873 | Tennessee |
Profile Details
NPI number | 1801117049 |
---|---|
LBN Legal business name | Motley, Gregory |
Credentials | LMSW, LADC, MAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2010 |
Last updated | Jun 22nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801117049 | NPPES |
Tennessee | MEDICAID | 3728928 |
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