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DECRESE A BEVERLY
NPI 1891293106
Counselor - Addiction (Substance Use Disorder) in Memphis, TN

Active since February 01, 2018
5405 FOX PLAZA DR # 108G, MEMPHIS, TN 38115(901) 497-6234 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2018, May 7, 2018 (2 updates tracked since 2018).

About Decrese A Beverly NPPES

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

DECRESE A BEVERLY (NPI 1891293106) is an individual addiction (substance use disorder) provider in Memphis, Tennessee and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1891293106
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDECRESE A BEVERLY
Location Address5405 FOX PLAZA DR # 108GMemphis, TN 38115
Mailing Address6080 Waterstone Oak WayMemphis, TN 38115-4045 · (901) 497-6234
Phone(901) 497-6234
Sole ProprietorYes
Enumeration DateFebruary 1, 2018
Last NPPES UpdateMay 25, 20182 updates tracked since enumeration
✔ NPI 1891293106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5405 FOX PLAZA DR # 108G, Memphis, TN 38115
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Other Identifiers 1

Medicaid1416950TN

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 Decrese Beverly's NPI number?

The NPI number for Decrese Beverly is 1891293106. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Decrese Beverly located?

Decrese Beverly practices at 5405 Fox Plaza Dr # 108G, Memphis, TN 38115. The listed phone number is (901) 497-6234.

What is Decrese Beverly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Decrese Beverly was last updated on May 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.