Southeast Mental Health Center, Inc

LBN: Southeast Mental Health Center, Inc
Southeast Mental Health Center, Inc is an health care organization with primary practice located at 2579 Douglass Ave Southeast Mental Health Center, Memphis TN 38114-2532. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Southeast Mental Health Center, Inc can be contacted via phone (901) 369-1484, or through Lawrence, Owen Eugene via phone (901) 369-1420.

Contact Information

Primary practice address
2579 Douglass Ave Southeast Mental Health Center Memphis TN 38114-2532
Phone: (901) 369-1484
Fax: (901) 312-7572
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Owen Eugene Master of Arts (MA)
Phone: (901) 369-1420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 762 Tennessee

Profile Details

NPI number 1063575165
LBN Legal business name Southeast Mental Health Center, Inc
DBA Doing business as
Authorized official Lawrence, Owen Eugene Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years 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 1063575165 NPPES
Tennessee MEDICAID 399596

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