Organization
CHANGE LIVES THROUGH EDUCATION LLC
Active
Other names
LearningRx Brain Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERVELLE DEMETRIA THOMAS (EXECUTIVE DIRECTOR)
(901) 620-2150
Entity
Organization
Contact information
Practice address
4680 MERCHANTS PARK CIR STE 214, COLLIERVILLE, TN 38017-9132
(901) 620-2150
Mailing address
7756 ANTIGUA CV, MEMPHIS, TN 38119-9154
(901) 212-1950
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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