Organization
NEW IMAGE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANTHRESA K HAMPTON LPC (MANAGING PARTNER)
(901) 334-3145
Entity
Organization
Contact information
Practice address
3721 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 334-4144
(901) 334-3145
Mailing address
3721 RIVERDALE RD, MEMPHIS, TN 38115-5322
(901) 334-4144
(901) 334-3145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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