Organization
KINGDOM MINISTRIES COUNSELING CENTER
Active
Organization
KINGDOM MINISTRIES COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ADDIE HALL GUINN MSSW (LICENSED CLINICAL SOCIAL WORKER)
(901) 507-4519
Entity
Organization
Contact information
Practice address
8245 CORDOVA RD, SUITE 100, CORDOVA, TN 38016-2086
(901) 507-4519
(901) 881-6911
Mailing address
8245 CORDOVA RD, SUITE 100, CORDOVA, TN 38016-2086
(901) 507-4519
(901) 881-6911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0000003139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136024
BCBSTN
TN
01
—
4147539
BCBSTN
TN
01
—
599764
MAGELLAN
TN
01
—
600014
MAGELLAN
TN
Enumeration date
08/09/2007
Last updated
08/09/2007
Update your record
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