Organization
MSHN ENTERPRISES LLC
Active
Organization
MSHN ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GLENN STEPHENSON (CIO)
(901) 410-9062
Entity
Organization
Contact information
Practice address
2056 FLETCHER CREEK DR STE 101, MEMPHIS, TN 38133-7060
(901) 410-9062
Mailing address
2057 FLETCHER CREEK DR, MEMPHIS, TN 38133-7059
(901) 825-8972
(901) 729-6169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7544
—
TN
01
—
I000000031865
TDMHS
TN
Enumeration date
01/13/2020
Last updated
08/09/2024
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