Experiential Healing Center
NPI 1558084780 · Mental Health Counselor · Memphis, TN
Experiential Healing Center is a Mental Health Counselor organization in Memphis, TN (NPI 1558084780).
Provider details
- NPI number
- 1558084780
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ethel Youngren, Office Manager(901) 372-0710
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2022-09-22
- Certified
- 2022-09-22
Frequently asked questions
- What is Experiential Healing Center's NPI number?
- Experiential Healing Center's National Provider Identifier (NPI) is 1558084780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Experiential Healing Center?
- Experiential Healing Center is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Experiential Healing Center located?
- Experiential Healing Center's practice location on file with NPPES is 1713 Lockett Pl, Memphis, TN 38104-3923.
- What is Experiential Healing Center's phone number?
- The practice phone number listed in the NPPES registry for Experiential Healing Center is (901) 372-0710.
- Who is the authorized official for Experiential Healing Center?
- The authorized official listed on Experiential Healing Center's NPPES record is Ethel Youngren, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Experiential Healing Center's NPI active?
- Yes — Experiential Healing Center's NPI (1558084780) is active in the NPPES registry as of the last update on 2022-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.