Individual provider · Type 1 NPI

Peter Longoria, LPC-MHSP (TEMP)

Mental Health Counselor · Memphis, TN

NPI number 1053148247 Active

Practice location

6363 Poplar Ave Ste 404
Memphis, TN 38119-4831

Call (901) 250-1266 Map

Mailing address

99 Marne St
Memphis, TN 38111-3446

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7293 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1053148247

Peter Longoria, LPC-MHSP (TEMP)'s National Provider Identifier is 1053148247, issued on Sep 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on Sep 19, 2024.