Organization
WEST TN FAMILY & CRISIS SERVICES CENTER LLC
Active
Organization
WEST TN FAMILY & CRISIS SERVICES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ADRIAN DEWAYNE SOLOMON LCSW,MSSW, MHRT (CEO-CLINICAL FORENSIC SOCIAL WORKER)
(901) 206-6250
Entity
Organization
Contact information
Practice address
825 BERCLAIR RD APT 8, MEMPHIS, TN 38122-5404
(901) 206-6250
Mailing address
116 AGNES RD STE 200, KNOXVILLE, TN 37919-6306
(901) 206-6250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FP1810
STATE LICENSING BOARD OF SOCIAL WORK
TN
Enumeration date
12/23/2024
Last updated
12/23/2024
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