Provider Demographics
NPI:1225286958
Name:CARING HEARTS AND MINDS PROGRESSIVE SERVICES INC.
Entity Type:Organization
Organization Name:CARING HEARTS AND MINDS PROGRESSIVE SERVICES INC.
Other - Org Name:C.H.A.M.P.S. INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:SR
Authorized Official - Credentials:LMSW
Authorized Official - Phone:901-360-1006
Mailing Address - Street 1:3041 GETWELL RD
Mailing Address - Street 2:SUITE 105 A
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-3737
Mailing Address - Country:US
Mailing Address - Phone:901-360-1006
Mailing Address - Fax:
Practice Address - Street 1:3041 GETWELL RD
Practice Address - Street 2:SUITE 105 A
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-3737
Practice Address - Country:US
Practice Address - Phone:901-360-1006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health