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
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