Provider Demographics
NPI:1255515011
Name:M-POWER, INC.
Entity type:Organization
Organization Name:M-POWER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STRICKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:901-603-8088
Mailing Address - Street 1:11935 STABLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-6968
Mailing Address - Country:US
Mailing Address - Phone:901-603-8088
Mailing Address - Fax:901-853-9546
Practice Address - Street 1:11935 STABLE VIEW DR
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:TN
Practice Address - Zip Code:38028-6968
Practice Address - Country:US
Practice Address - Phone:901-603-8088
Practice Address - Fax:901-853-9546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0C56OtherMEDICAID WAIVER