Provider Demographics
NPI:1629295159
Name:MIDTOWN MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:MIDTOWN MENTAL HEALTH CENTER
Other - Org Name:MOBILE CRISIS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CRISIS SUPPORT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ARMETREA
Authorized Official - Middle Name:LESHAY
Authorized Official - Last Name:MOSBY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:901-577-9400
Mailing Address - Street 1:49 W FRANK AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-2314
Mailing Address - Country:US
Mailing Address - Phone:901-948-3281
Mailing Address - Fax:
Practice Address - Street 1:49 W FRANK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-2314
Practice Address - Country:US
Practice Address - Phone:901-948-3281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty