CUSTOMIZED MEDICAL NEEDS
NPI 1124361688
Substance Abuse Rehabilitation Facility in Memphis, TN

Active since April 03, 2013
578 HARRELL ST, MEMPHIS, TN 38112(901) 907-0640(901) 255-0758 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Customized Medical Needs NPPES

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

CUSTOMIZED MEDICAL NEEDS (NPI 1124361688) is a healthcare organization registered as a substance abuse rehabilitation facility in Memphis, Tennessee and active in the NPI registry since April 2013. The organization lists Christi Alexander Davidson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124361688
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCUSTOMIZED MEDICAL NEEDS
Location Address578 HARRELL STMemphis, TN 38112-2932
Mailing Address578 Harrell StMemphis, TN 38112-2932 · (901) 907-0640 · Fax (901) 255-0758
Fax(901) 255-0758
Organization SubpartNo
Authorized OfficialChristi Alexander DavidsonExecutive Director · (866) 563-7772
Enumeration DateApril 3, 2013
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1124361688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 305 (TN)
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
578 HARRELL ST, Memphis, TN 38112

Other Identifiers 2

Medicaid1531379TN
Other103G700897TN · Medicare (ptan)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Health and Wellness Coach
578 HARRELL ST
MEMPHIS, TN 38112
Counselor (Addiction (Substance Use Disorder))
578 HARRELL ST
MEMPHIS, TN 38112
Health and Wellness Coach
578 HARRELL ST
MEMPHIS, TN 38112

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 Customized Medical Needs's NPI number?

The NPI number for Customized Medical Needs is 1124361688. It was assigned to this organization in the NPPES registry on April 3, 2013.

Where is Customized Medical Needs located?

Customized Medical Needs is located at 578 Harrell St, Memphis, TN 38112. The listed phone number is (901) 907-0640.

What is Customized Medical Needs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Customized Medical Needs was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.