# MIDSOUTH MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1366100158
- **Authorized official:** MRS. TAMIKA DAVIS LCSW (DIRECTOR)
- **Authorized official phone:** (901) 870-2727

## Contact information

- **Practice address:** 1331 UNION AVE STE 1000, MEMPHIS, TN 38104-7501
- **Practice address phone:** (901) 870-2727
- **Mailing address:** 1331 UNION AVE STE 1000, MEMPHIS, TN 38104-7501
- **Mailing address phone:** (901) 870-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2021
- **Last updated:** 11/30/2021