Organization
CET OF MEMPHIS, LLC
Active
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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