The Headshop, Pllc

LBN: The Headshop, Pllc
The Headshop, Pllc is an health care organization with primary practice located at 5104 Stage Rd , Memphis TN 38134-3164. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. The Headshop, Pllc can be contacted via phone (901) 870-8682, or through Wade Kiles, Mardrey Alicia via phone (901) 870-8682.

Contact Information

Primary practice address
5104 Stage Rd Memphis TN 38134-3164
Phone: (901) 870-8682
Fax: (901) 424-9078
Website:
Map and Directions
Authorized official contact:
Name: Wade Kiles, Mardrey Alicia LPC- MHSP
Phone: (901) 870-8682

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1508643818
LBN Legal business name The Headshop, Pllc
DBA Doing business as
Authorized official Wade Kiles, Mardrey Alicia LPC- MHSP
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about last year

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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