Provider Demographics
NPI:1033345756
Name:LITTLE, MARQUITA LACHELLE (MPS)
Entity Type:Individual
Prefix:
First Name:MARQUITA
Middle Name:LACHELLE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 NORTH LAUDERDALE ST.
Mailing Address - Street 2:APT 104
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105
Mailing Address - Country:US
Mailing Address - Phone:901-320-6100
Mailing Address - Fax:901-320-6101
Practice Address - Street 1:2714 UNION AVENUE EXTENSION
Practice Address - Street 2:SUITE 400
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112
Practice Address - Country:US
Practice Address - Phone:901-320-6100
Practice Address - Fax:901-320-6101
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health