Peacock, Carrie

Peacock, Carrie is an sole proprietor health care provider with primary practice located at 1155 Cully Rd , Cordova TN 38018-8502. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Peacock, Carrie can be contacted via phone (901) 624-2454.

Contact Information

Primary practice address
1155 Cully Rd Cordova TN 38018-8502
Phone: (901) 624-2454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1770776858
LBN Legal business name Peacock, Carrie
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Aug 28th, 2007 - about 17 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.

Request for update

Popular Providers