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Iac Associates Pllc
Psychiatric/Mental Health Nurse Practitioner in Memphis, Tennessee
NPI 1487126272

Iac Associates Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Nashville, TN and is specialized in Psychiatric/Mental Health. Iac Associates Pllc practices in Memphis, TN. The NPI Number for Iac Associates Pllc is 1487126272 and holds a License No. (Tennessee).

The current practice location address for Iac Associates Pllc is 6401 Poplar Ave Ste 500, Memphis, TN and can be reached out via phone at 901-746-9438 and via fax at 941-746-9331.

Location: 6401 Poplar Ave Ste 500, Memphis, TN, 37203-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487126272
Provider Name
Iac Associates Pllc
Credential
Provider Entity Type
Organization
Address
6401 Poplar Ave Ste 500, Memphis, TN, 37203-1618
Phone Number
901-746-9438
Fax Number
941-746-9331
Provider Enumeration Date
12/18/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q048108 05 TN
03401509 05 MS
institution
Provider Business Practice Location Address Details
Address
6401 Poplar Ave Ste 500
City
Memphis
State
Tennessee
Zip
38119-4808
Phone Number
901-746-9438
Fax Number
941-746-9331
person
Provider Business Mailing Address Details
Address
6401 Poplar Ave Ste 500
City
Memphis
State
Tennessee
Zip
38119-4808
Phone Number
901-746-9438
Fax Number
941-746-9331
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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