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

Experiential Healing Center

Organization Mental Health Counselor · NPI 1558084780

Experiential Healing Center is a Mental Health Counselor in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1713 Lockett Pl
Memphis, TN 38104-3923
Phone: (901) 372-0710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558084780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethel Youngren — Office Manager · (901) 372-0710
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022
Mailing address1713 Lockett Pl, Memphis, TN 38104-3923

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