Organization
SHAKTI'S GREENHOUSE LLC
Active
Parent organization
BLUES CITY PSYCHIATRY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUES CITY PSYCHIATRY, PLLC
Authorized official
SHUBI ADYA SHAKTI MD (MEDICAL DIRECTOR)
(901) 277-8713
Entity
Organization
Contact information
Practice address
8336 MACON ROAD, CORDOVA, TN 38018
(901) 277-8713
(901) 682-3049
Mailing address
8336 MACON RD, CORDOVA, TN 38018-8554
(901) 628-3035
(901) 682-3049
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
07/19/2024
Last updated
05/14/2026
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