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

Keith Frederic, TLPC-MHSP

Individual provider Mental Health Counselor · NPI 1730992645

Keith Frederic, TLPC-MHSP is a Mental Health Counselor in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

5587 Murray Ave Ste 205
Memphis, TN 38119-0896
Phone: (901) 501-7119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6792 (TN)

Record details

NPI number1730992645
Entity typeIndividual (Type 1)
GenderMale
Credentials TLPC-MHSP
Sole proprietorYes
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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