Provider Demographics
NPI:1386008837
Name:FERREN FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:FERREN FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:GAVROCK
Authorized Official - Last Name:FERREN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:901-498-9126
Mailing Address - Street 1:895 S COOPER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5604
Mailing Address - Country:US
Mailing Address - Phone:901-498-9126
Mailing Address - Fax:901-272-8659
Practice Address - Street 1:895 S COOPER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5604
Practice Address - Country:US
Practice Address - Phone:901-498-9126
Practice Address - Fax:901-272-8659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty