Organization
PERSEVERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY BOOKS (REGIONAL DIRECTOR)
(615) 582-7796
Entity
Organization
Contact information
Practice address
1682 RAYNER ST, MEMPHIS, TN 38106-7002
(877) 260-7299
Mailing address
PO BOX 1802, SALT LAKE CITY, UT 84110-1802
(877) 260-7299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
04/04/2025
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