Provider Demographics
NPI:1740731058
Name:SHOWERS, EURIKA (BA DEGREE)
Entity type:Individual
Prefix:
First Name:EURIKA
Middle Name:
Last Name:SHOWERS
Suffix:
Gender:F
Credentials:BA DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4539 WINCHESTER RD STE 111
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-5100
Mailing Address - Country:US
Mailing Address - Phone:901-375-1050
Mailing Address - Fax:
Practice Address - Street 1:4539 WINCHESTER RD STE 111
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-5100
Practice Address - Country:US
Practice Address - Phone:901-375-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
TN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)