Organization
PROFESSIONAL CARE SERVICES OF WEST TN INC
Active
Other names
JB Summers Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM CAUSEY PHD (EXECUTIVE DIRECTOR)
(901) 476-8967
Entity
Organization
Contact information
Practice address
12615 S MAIN, SOMERVILLE, TN 38068-1673
(901) 465-9831
(901) 465-8070
Mailing address
1997 HWY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
(901) 318-1125
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2382
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4428252
NCPDP
—
Enumeration date
12/28/2006
Last updated
08/22/2020
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