Organization
A PARKVIEW THERAPY SERVICES
Active
Organization
A PARKVIEW THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DEWAYNE PERRY LCSW (OWNER)
(901) 650-6801
Entity
Organization
Contact information
Practice address
521 LEXINGTON AVE, JACKSON, TN 38301-6524
(901) 650-6801
Mailing address
5905 AIRWAYS BLVD BLDG 231-5, SOUTHAVEN, MS 38671-1921
(901) 650-6801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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