| Mind And Body Wellness Clinic | |
|
1176 Vickery Ln Ste 100 Cordova TN 38016-0631 | |
| (901) 737-1992 | |
| Not Available |
| Full Name | Mind And Body Wellness Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1176 Vickery Ln Ste 100, Cordova, Tennessee |
| Authorized Official Name and Position | Tonya M Malady (CREDENTIALING) |
| Authorized Official Contact | 9017371992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Wellness Clinic 1176 Vickery Ln Ste 100 Cordova TN 38016-0631 Ph: (901) 737-1992 | Mind And Body Wellness Clinic 1176 Vickery Ln Ste 100 Cordova TN 38016-0631 Ph: (901) 737-1992 |
| NPI Number | 1063048668 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063048668 | NPI | - | NPPES |
| 44725 | Other | TN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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