# SHD CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265060420
- **Authorized official:** DR. STACY HINES-DOWELL DNP, FNP-BC (CEO/OWNER)
- **Authorized official phone:** (901) 483-7268

## Contact information

- **Practice address:** 4295 CHILDS DR, MEMPHIS, TN 38116-6909
- **Practice address phone:** (901) 483-5791
- **Mailing address:** 3856 CHANDLER DR, SOUTHAVEN, MS 38672-7054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 03/31/2020