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

Individual provider Professional Counselor · NPI 1316436439

Mardrey Alicia Wade Kiles, LPC is a Professional Counselor in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5104 Stage Rd
Memphis, TN 38134-3164
Phone: (901) 646-1053
Fax: (901) 424-9078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4255 (TN)

Record details

NPI number1316436439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 3, 2018
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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