Affirming Change Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AFFIRMING CHANGE COUNSELING SERVICES, PLLC

Practice address

1331 Union Ave Ste 1000
Memphis, TN 38104-7501

Phone

(901) 485-4433

NPI assigned

Sep 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaundra B Hardaway, LPC-MHSPNPI 1568029072

Title

Practice Owner

Phone

(901) 734-4174

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaundra Bills Hardaway, LPC-MHSP

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1568029072
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1144943010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 MEADOWLARK PL",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332822",
            "telephone_number": "901-734-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047501",
            "telephone_number": "901-485-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMING CHANGE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "SHAUNDRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "901-734-4174",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.