OrganizationActive
Lifestyle Wellness Center
NPI 1194107706 · Health Service Clinic/Center · Memphis, TN
Provider details
- NPI number
- 1194107706
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivory Taylor, Ceo(901) 794-3707
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3333 E Shelby Dr
Suite 3
Memphis, TN 38118-7256
Phone: (901) 794-3707
Fax: (901) 794-3690
Approximate (ZIP-level) locationGet directions
Mailing address
3333 E Shelby Dr
Memphis, TN 38118-7256
Registry dates
- Enumerated
- 2015-06-19
- Last updated
- 2015-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.