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EXPERIENTIAL HEALING CENTER
NPI 1558084780
Counselor - Mental Health in Memphis, TN

Active since September 22, 2022
1713 LOCKETT PL, MEMPHIS, TN 38104(901) 372-0710 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Experiential Healing Center NPPES

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

EXPERIENTIAL HEALING CENTER (NPI 1558084780) is a healthcare organization registered as a mental health in Memphis, Tennessee and active in the NPI registry since September 2022. The organization lists Ethel Youngren, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558084780
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEXPERIENTIAL HEALING CENTER
Location Address1713 LOCKETT PLMemphis, TN 38104-3923
Mailing Address1713 Lockett PlMemphis, TN 38104-3923 · (901) 372-0710
Phone(901) 372-0710
Organization SubpartNo
Authorized OfficialEthel YoungrenOffice Manager · (901) 372-0710
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1558084780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1713 LOCKETT PL, Memphis, TN 38104
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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 9

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

DONALD WILLIAM ANDERSON LPC
Counselor (Professional)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 619-2459
SANDRA ANNE HOBSON MS,LPC, NCC
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
MRS. MICHELLE RAPPAPORT MA,LPC/MHSP-S
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
MAGGIE HERMAN
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
OSCAR CARR J.D., M.S., NCC
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
KC HARRISON BSN, RN, MS, CSP-S
Registered Nurse (Psychiatric/Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
SHELLY WILKERSON PHD, MS, NCC, LPC
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710
LEE FORBES-BELUE LPC-MHSP
Counselor (Mental Health)
1713 LOCKETT PL
MEMPHIS, TN 38104
Shelby County (901) 372-0710

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 Experiential Healing Center's NPI number?

The NPI number for Experiential Healing Center is 1558084780. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Experiential Healing Center located?

Experiential Healing Center is located at 1713 Lockett Pl, Memphis, TN 38104. The listed phone number is (901) 372-0710.

What is Experiential Healing Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Experiential Healing Center was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.