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Organization
MINDFLOW LLC
Active
Organization
MINDFLOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ANTHONY FARAINO JR. (CEO)
(205) 903-2483
Entity
Organization
Contact information
Practice address
5341 VIRGINIA WAY, BRENTWOOD, TN 37027-7531
(205) 903-2483
Mailing address
5341 VIRGINIA WAY, BRENTWOOD, TN 37027-7531
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
NULL
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
01/31/2024
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