Organization
CHANGE LIVES THROUGH EDUCATION LLC
Active
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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