1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Pharmacy
  6. NPI Profile

SOUTHEAST MENTAL HEALTH CENTER, INC
NPI 1063575165
Pharmacy - Clinic Pharmacy in Memphis, TN

Active since December 19, 2006
2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38114(901) 369-1484(901) 312-7572 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Mental Health Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MENTAL HEALTH CENTER, INC (NPI 1063575165) is a healthcare organization registered as a clinic pharmacy in Memphis, Tennessee and active in the NPI registry since December 2006. The organization lists Owen Eugene Lawrence, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063575165
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameSOUTHEAST MENTAL HEALTH CENTER, INC
Location Address2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTERMemphis, TN 38114-2532
Mailing Address3810 Winchester Rd, Southeast Mental Health CenterMemphis, TN 38118-6045 · (901) 369-1420 · Fax (901) 369-1433
Phone(901) 369-1484
Fax(901) 312-7572
Organization SubpartNo
Authorized OfficialOwen Eugene LawrenceExecutive Director · (901) 369-1420
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063575165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in TN · 762
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
2579 DOUGLASS AVE, Memphis, TN 38114
Open in Google Maps ↗

Other Identifiers 1

Medicaid399596TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELA C HAMMOND WHNP, APN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
2579 DOUGLASS AVE, SOUTHEAST MENTAL HEALTH CENTER
MEMPHIS, TN 38114
Shelby County (901) 369-1480
JAN VOGELFANGER B.S.
Pharmacist
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 369-1480
BRIDGETTE AUSTIN MA
Counselor (Mental Health)
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 567-3554
FANNIE JEFFERSON MA
Counselor
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 576-3224
ALEXIA MCKINNEY MSW
Social Worker
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 567-3554
KRISTINA BARKER MS
Counselor
2579 DOUGLASS AVE
MEMPHIS, TN 38114
Shelby County (901) 567-3554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Mental Health Center, Inc's NPI number?

The NPI number for Southeast Mental Health Center, Inc is 1063575165. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Southeast Mental Health Center, Inc located?

Southeast Mental Health Center, Inc is located at 2579 Douglass Ave Southeast Mental Health Center, Memphis, TN 38114. The listed phone number is (901) 369-1484.

What is Southeast Mental Health Center, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Southeast Mental Health Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Southeast Mental Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Mental Health Center, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.