Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Customized Medical Needs

Organization Professional Counselor · NPI 1124361688

Customized Medical Needs is a Professional Counselor in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
Specialties on file
13
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Practice location Address checks out

578 Harrell St
Memphis, TN 38112-2932
Phone: (901) 907-0640
Fax: (901) 255-0758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Professional Counselor Taxonomy 101YP2500X · Licence 305 (TN)
Social Worker Taxonomy 104100000X
Registered Dietitian Taxonomy 133V00000X
Registered Nurse Taxonomy 163W00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1124361688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christi Davidson — Executive Director · (866) 563-7772
NPI enumeratedApril 3, 2013
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address578 Harrell St, Memphis, TN 38112-2932

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