# CLR MIND PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144049024
- **Authorized official:** MARQUETA ABRAHAM DNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (901) 878-9147

## Contact information

- **Practice address:** 4466 ELVIS PRESLEY BLVD STE 119, MEMPHIS, TN 38116-7129
- **Practice address phone:** (901) 878-9147
- **Mailing address:** 4466 ELVIS PRESLEY BLVD STE 119, MEMPHIS, TN 38116-7129
- **Mailing address phone:** (901) 878-9147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 02/28/2025