Individual
PHOENIX OSIRIS LEMOUNT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 584-8281
Mailing address
3375 SOUTHERN AVE APT 30, MEMPHIS, TN 38111-8226
(314) 702-0647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT26-520144
TN
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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