Provider Demographics
NPI:1437785078
Name:ACCEDENCE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ACCEDENCE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARNETHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:901-288-6825
Mailing Address - Street 1:1959 SARSEN CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2353
Mailing Address - Country:US
Mailing Address - Phone:901-288-6825
Mailing Address - Fax:901-284-0196
Practice Address - Street 1:1845 MORIAH WOODS BLVD STE 7
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-7123
Practice Address - Country:US
Practice Address - Phone:901-310-4265
Practice Address - Fax:901-284-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14390451OtherCAQH
TNQ056259Medicaid