Organization Active NPI

Alive Mental Health LLC

  • Multi-Specialty Clinic/Center
  • Collierville, TN
National Provider Identifier
1013736768
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALIVE MENTAL HEALTH LLC
Practice address
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Phone
(901) 568-7774
NPI assigned
Oct 9, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sara Williams Labrador
Title
Manager
Phone
(901) 568-7774

National Provider Directory

National Provider Directory

Locations

7556 US Highway 70
Ste 105
Bartlett, TN 38133

109 Tucker St
Ste 102
Jackson, TN 38301

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618

Mailing address

7556 US Highway 70 Ste 105
Bartlett, TN 38133-2686
Phone (901) 568-7774

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2025.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1013736768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 US HIGHWAY 70 STE 105",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332686",
            "telephone_number": "901-568-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-568-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS LABRADOR",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-568-7774"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.