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

Mr. Tarik Immanuel, NCC, LPC/MHSPTEMP

Individual provider Mental Health Counselor · NPI 1497626659

Mr. Tarik Immanuel, NCC, LPC/MHSPTEMP is a Mental Health Counselor in Cordova, Tennessee. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

293 S Walnut Bend Rd
Cordova, TN 38018-7284
Phone: (901) 206-5604
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 7963 (TN)

Record details

NPI number1497626659
Entity typeIndividual (Type 1)
GenderMale
Credentials NCC , LPC/MHSPTEMP
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

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