Organization
ALLIANCE HEALTHCARE SERVICES
Active
Parent organization
ALLIANCE HEALTHCARE SERVICES
Other names
Southeast Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE HEALTHCARE SERVICES
Authorized official
LAURIE JEAN POWELL LCSW (CEO)
(901) 567-3554
Entity
Organization
Contact information
Practice address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
Mailing address
2220 UNION AVE, ALLIANCE HEALTHCARE SERVICES, MEMPHIS, TN 38104
(901) 369-1420
(901) 369-1433
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
L2140766279
TN
251B00000X
Case Management Agency
L2140766280
TN
251B00000X
Case Management Agency
L2140766281
TN
251S00000X
Community/Behavioral Health Agency
269
TN
251S00000X
Community/Behavioral Health Agency
Primary
276
TN
251S00000X
Community/Behavioral Health Agency
L2140766278
TN
251S00000X
Community/Behavioral Health Agency
L2140766279
TN
251S00000X
Community/Behavioral Health Agency
L2140766280
TN
251S00000X
Community/Behavioral Health Agency
L2140766281
TN
251S00000X
Community/Behavioral Health Agency
—
TN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
L18537
TN
261QP2300X
Primary Care Clinic/Center
—
TN
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3399596
—
TN
05
—
399596
—
TN
Enumeration date
12/19/2006
Last updated
10/04/2023
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