Provider Demographics
NPI:1437613189
Name:K. JANEE' LPC-MHSP, LLC
Entity Type:Organization
Organization Name:K. JANEE' LPC-MHSP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:JANEE'
Authorized Official - Last Name:WINBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:901-361-2330
Mailing Address - Street 1:5909 SHELBY OAKS DR STE 117
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-7318
Mailing Address - Country:US
Mailing Address - Phone:901-361-2330
Mailing Address - Fax:
Practice Address - Street 1:5909 SHELBY OAKS DR STE 117
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7318
Practice Address - Country:US
Practice Address - Phone:901-361-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)