Individual provider · Type 1 NPI

Vivica Martin

Mental Health Counselor · Cordova, TN

NPI number 1013799824 Active

Practice location

58 Timber Creek Dr
Cordova, TN 38018-4233

Call (901) 673-1600 Map

Other practice locations

  • 1088 Rogers Rd, Cordova, TN 38018-8546 · (901) 755-1396

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013799824

Vivica Martin's National Provider Identifier is 1013799824, issued on Oct 17, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cordova, TN. The record was last updated on May 24, 2025.