National Provider Identifier Database

PSYCAMORE LLC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

PSYCAMORE, LLC
563 CLARICE DR
MEMPHIS, TN38109-4627
Phone: 901-345-0637
Fax:
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Adolescent and Children Mental Health 261QM0855X
Ambulatory Family Planning Facility 261QA0005X

* Indicates primary specialty

NPI Profile & details for PSYCAMORE, LLC

NPI Number 1417258625
Legal business name
LBN
PSYCAMORE, LLC
Authorized official JERRY HAMILTON - (LICENSED CLINICAL SOCIAL WORKER)
Entity Organization
Organization subpart No
Enumeration date 11/04/2010
Last updated 11/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: C5871

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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