Christian Family Solutions of the Mid-South

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000003116 Issued in TN

Legal business name

CHRISTIAN FAMILY SOLUTIONS OF THE MID-SOUTH

Doing business as

Mid-South Counseling Services

Practice address

311 Poplar View Lane West
Collierville, TN 38017

Phone

(901) 827-3404

Fax

(901) 234-0113

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Greenhill Williams Jr., LCSW

Title

Owner

Phone

(901) 827-3404

Specialties & licenses 1

Addresses

Other names 1

• Mid-South Counseling Services Doing business as

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1508035999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 HIGHWAY 64",
            "address_2": "SUITE 12, PMB 124",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024766",
            "telephone_number": "901-827-3404",
            "fax_number": "901-827-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 POPLAR VIEW LANE WEST",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-827-3404",
            "fax_number": "901-234-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAMILY SOLUTIONS OF THE MID-SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GREENHILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-827-3404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-South Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Collierville, TN
• Providers in Collierville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.