Organization
MANE UP MEMPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEAL WALKER (EXECUTIVE DIRECTOR)
(901) 395-4458
Entity
Organization
Contact information
Practice address
622 MINOR ST, MEMPHIS, TN 38111-5808
(901) 290-7226
Mailing address
5041 CHERRY BARK CV, MEMPHIS, TN 38141-8418
(901) 395-4458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/10/2024
Last updated
06/24/2025
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