Individual
MR. LANNY CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1094 POPLAR AVE., SERENITY RECOVERY CENTERS, MEMPHIS, TN 38105
(901) 521-1131
(901) 746-9643
Mailing address
1094 POPLAR AVE., SERENITY RECOVERY CENTERS, MEMPHIS, TN 38105
(901) 521-1131
(901) 746-9643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
1811-C
AR
Other
Enumeration date
03/18/2008
Last updated
11/01/2016
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