Provider Demographics
NPI:1164540084
Name:METHODIST HEALTHCARE
Entity Type:Organization
Organization Name:METHODIST HEALTHCARE
Other - Org Name:EMPLOYEE ASSISTANCE PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EAP DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-683-5658
Mailing Address - Street 1:5350 POPLAR AVE
Mailing Address - Street 2:SUITE 730
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3699
Mailing Address - Country:US
Mailing Address - Phone:901-683-5658
Mailing Address - Fax:901-684-1277
Practice Address - Street 1:5350 POPLAR AVE
Practice Address - Street 2:SUITE 730
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3699
Practice Address - Country:US
Practice Address - Phone:901-683-5658
Practice Address - Fax:901-684-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health