Provider Demographics
NPI:1801057286
Name:MAYS, LAVELLE HEARD (LCSW)
Entity type:Individual
Prefix:MS
First Name:LAVELLE
Middle Name:HEARD
Last Name:MAYS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6347 KIRBY DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-2703
Mailing Address - Country:US
Mailing Address - Phone:901-258-3759
Mailing Address - Fax:
Practice Address - Street 1:6410 POPLAR AVE STE 800
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4839
Practice Address - Country:US
Practice Address - Phone:901-208-9499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TNLMSW00000072011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical