Provider Demographics
NPI:1508614058
Name:HIGHLY FAVORED HEALTH PLLC
Entity Type:Organization
Organization Name:HIGHLY FAVORED HEALTH PLLC
Other - Org Name:THINK RIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:BUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-BC, ANP-C, PMHNP
Authorized Official - Phone:901-626-7757
Mailing Address - Street 1:6000 POPLAR AVE STE 226
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3981
Mailing Address - Country:US
Mailing Address - Phone:901-626-7757
Mailing Address - Fax:
Practice Address - Street 1:6000 POPLAR AVE # 226
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3981
Practice Address - Country:US
Practice Address - Phone:901-626-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)