Individual
TOLETA MICHELLE HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 WILLIAMS AVE, MEMPHIS, TN 38126-5812
(662) 985-0767
Mailing address
9261 ALCOVE ST, CORDOVA, TN 38016-2092
(662) 985-0767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TN
103K00000X
Behavior Analyst
—
TN
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
TN
Other
Enumeration date
05/01/2026
Last updated
05/05/2026
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