Individual provider · Type 1 NPI

Daniel W. Church

Counselor · Memphis, TN

NPI number 1770288730 Active

Practice location

6263 Poplar Avenue, Suite 620
Memphis, TN 38119

Call (901) 654-5551 Map

Fax (901) 654-5570

Mailing address

4801 Sea Isle Rd
Memphis, TN 38117-6635

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1770288730

Daniel W. Church's National Provider Identifier is 1770288730, issued on Mar 31, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Memphis, TN. The record was last updated on Feb 7, 2026.