Organization
CET OF MEMPHIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD THIGPEN LCSW (OWNER AND CEO)
(901) 358-5347
Entity
Organization
Contact information
Practice address
2470 CAPEWOOD DR, MEMPHIS, TN 38127
(901) 482-7633
Mailing address
2470 CAPEWOOD DR, MEMPHIS, TN 38127
(901) 358-5347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LSW0000000333
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441469
—
TN
Enumeration date
02/26/2008
Last updated
07/17/2008
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