Provider Demographics
NPI:1720552235
Name:FOR THE PEOPLE COUNSELING SERVICES
Entity Type:Organization
Organization Name:FOR THE PEOPLE COUNSELING SERVICES
Other - Org Name:FOR THE PEOPLE COUNSELING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHADONNA
Authorized Official - Middle Name:ROSHAWN
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-321-5774
Mailing Address - Street 1:119 RACINE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-2729
Mailing Address - Country:US
Mailing Address - Phone:901-321-5774
Mailing Address - Fax:901-443-5089
Practice Address - Street 1:119 RACINE ST STE 105
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-2729
Practice Address - Country:US
Practice Address - Phone:901-321-5774
Practice Address - Fax:901-443-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management