Organization
SHORTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE SHORTER LPC-MHSP (OFFICER)
(901) 568-6397
Entity
Organization
Contact information
Practice address
3204 RUSKIN RD, MEMPHIS, TN 38134-3216
(901) 830-9147
Mailing address
3204 RUSKIN RD, MEMPHIS, TN 38134-3216
(901) 830-9147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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