Provider Demographics
NPI:1083619803
Name:GUINN CONSULTING SERVICES
Entity Type:Organization
Organization Name:GUINN CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:901-948-4809
Mailing Address - Street 1:PO BOX 901669
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38190-1669
Mailing Address - Country:US
Mailing Address - Phone:901-948-4809
Mailing Address - Fax:901-948-4809
Practice Address - Street 1:122 E NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-2333
Practice Address - Country:US
Practice Address - Phone:901-948-4809
Practice Address - Fax:901-948-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC1787101YM0800X
TNLCSW31391041C0700X
251B00000X
TN251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3726286Medicaid
TN3726286Medicaid