Organization
JALY TRANSITIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE YOUNG PH.D (OWNER)
(901) 396-2273
Entity
Organization
Contact information
Practice address
1444 E SHELBY DR, SUITE 429, MEMPHIS, TN 38116-7260
(901) 396-2273
Mailing address
1444 E SHELBY DR, SUITE 429, MEMPHIS, TN 38116-7260
(901) 396-2273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
563
MS
101YM0800X
Mental Health Counselor
Primary
563
TN
103T00000X
Psychologist
563
MS
103T00000X
Psychologist
563
TN
106H00000X
Marriage & Family Therapist
202
TN
106H00000X
Marriage & Family Therapist
563
MS
106H00000X
Marriage & Family Therapist
563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194822
COMPSYCH
TN
01
—
BCBS
4091466
TN
Enumeration date
04/08/2008
Last updated
04/08/2008
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