Individual
LEANN POWELL FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMP)
Contact information
Practice address
6363 POPLAR AVE STE 404, MEMPHIS, TN 38119-4831
(901) 328-8885
Mailing address
1575 CYPRESS LAKE DR, LAKELAND, TN 38002-8812
(901) 461-0146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7649
TN
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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