Individual provider · Type 1 NPI

Tarik Immanuel, NCC, LPC/MHSP (TEMP)

Mental Health Counselor · Cordova, TN

NPI number 1497626659 Active

Practice location

293 S Walnut Bend Rd
Cordova, TN 38018-7284

Call (901) 206-5604 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7963 (TN)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1497626659

Tarik Immanuel, NCC, LPC/MHSP (TEMP)'s National Provider Identifier is 1497626659, issued on Sep 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cordova, TN. The record was last updated on Sep 12, 2025.