Organization · Type 2 NPI

Claycon, LLC

Mental Health Counselor · Memphis, TN

NPI number 1124310008 Active

Practice location

5158 Stage Rd, Suite 130
Memphis, TN 38134-3116

Call (662) 280-5758 Map

Fax (662) 280-5708

Mailing address

8829 Centre St
Southaven, MS 38671-2610

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

3 other providers at this address

Carol Ann Risher, LPCProfessional Counselor Memphis, TN NPI 1295879609
Donald William Anderson, LPCProfessional Counselor Memphis, TN NPI 1285951731
Timothy Lee Smith, M.S., L.P.C.Mental Health Counselor Memphis, TN NPI 1891851291

Other mental health counselor providers in Memphis

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NPI record

NPI: 1124310008
Entity type: Organization (Type 2)
Issued: May 10, 2011
Last updated: May 10, 2011
Status: Active
Subpart: Yes of Claycon LLC Dba: A Bridge To Recovery

Other names

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The Healing Path Program for Women · doing business as

Authorized official

Angie Garrett
Office Manager
(662) 280-5758

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124310008

Claycon, LLC's National Provider Identifier is 1124310008, issued on May 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on May 10, 2011.