Individual
TAQUITTA REANEE THORNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6084 APPLE TREE DR STE 10, MEMPHIS, TN 38115-0305
(901) 299-5619
Mailing address
6084 APPLE TREE DR STE 10, MEMPHIS, TN 38115-0305
(901) 299-5619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
247200000X
Other Technician
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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