Organization
INSPIRED THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA WADE LPC-MHSP (CO-OWNER)
(901) 647-8522
Entity
Organization
Contact information
Practice address
5830 MOUNT MORIAH RD, SUITE 20, MEMPHIS, TN 38115-1607
(901) 244-6182
Mailing address
5830 MOUNT MORIAH RD, SUITE 20, MEMPHIS, TN 38115-1607
(901) 244-6182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525818
—
TN
Enumeration date
02/16/2012
Last updated
02/16/2012
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