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Organization

HEARTLIFE PROFESSIONAL SOUL CARE

Active
Other names
HeartLife Professional Soul Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES HANNAFORD PH.D. (CLINICAL PSYCHOLOGIST, PRESIDENT)
(901) 756-5060
Entity
Organization

Contact information

Practice address
7947 PLAYERS FOREST DR STE 103, MEMPHIS, TN 38119-9114
(901) 756-5060
Mailing address
7947 PLAYERS FOREST DR STE 103, MEMPHIS, TN 38119-9114
(901) 756-5060

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3369
TN

Other

Enumeration date
10/03/2017
Last updated
04/23/2024
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