Individual
GREGORY MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LADC, MAC
Contact information
Practice address
1203 POPLAR AVE, SUITE #5, MEMPHIS, TN 38104-7278
(901) 728-5554
(901) 728-6011
Mailing address
1203 POPLAR AVE STE 5, MEMPHIS, TN 38104-7278
(901) 728-5554
(901) 728-6011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
308
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
C83434
TN
101YM0800X
Mental Health Counselor
5873
TN
104100000X
Social Worker
Primary
5873
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728928
—
TN
Enumeration date
06/22/2010
Last updated
06/22/2010
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