The Headshop
The Headshop is a Professional Counselor in Memphis, Tennessee. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5104 Stage RdMemphis, TN 38134-3164
Phone: (901) 870-8682
Fax: (901) 424-9078
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1508643818 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Headshop |
| Authorized official | Mardrey Wade Kiles — Owner, Clinical Director, Therapist · (901) 870-8682 |
| Other names | Mardrey Wade Kiles; The Headshop |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | October 27, 2025 |
| Certification date | October 27, 2025 |
| Mailing address | 1788 Cheshunt Ln, Cordova, TN 38016-3507 |
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