Organization
VISION BEHAVIORAL HEALTH COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE CHARLES BRYANT LADAC (PRESIDENT)
(901) 628-5572
Entity
Organization
Contact information
Practice address
2400 POPLAR AVE STE 410, MEMPHIS, TN 38112-3252
(901) 249-7970
(901) 791-4390
Mailing address
1331 UNION AVE, SUITE 1212, MEMPHIS, TN 38104-3513
(901) 272-2622
(901) 272-2602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000261
TN
Other
Enumeration date
05/18/2015
Last updated
02/21/2024
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