| Midsouth Behavior Clinic | |
|
12482 Magnolia Bend Dr Arlington TN 38002-7046 | |
| (901) 497-0384 | |
| (866) 823-6014 |
| Full Name | Midsouth Behavior Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12482 Magnolia Bend Dr, Arlington, Tennessee |
| Authorized Official Name and Position | Brandon Ellis Mccord (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9014970384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Behavior Clinic 12482 Magnolia Bend Dr Arlington TN 38002-7046 Ph: (901) 497-0384 | Midsouth Behavior Clinic 12482 Magnolia Bend Dr Arlington TN 38002-7046 Ph: (901) 497-0384 |
| NPI Number | 1750751434 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750751434 | NPI | - | NPPES |
| 2500733 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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