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Organization
MINDCLUB BEHAVIORAL HEALTH PA
Active
Organization
MINDCLUB BEHAVIORAL HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY RICHARDSON (VP)
(615) 390-2865
Entity
Organization
Contact information
Practice address
106 MISSION CT STE 201A, FRANKLIN, TN 37067-6441
(615) 390-2865
Mailing address
106 MISSION CT STE 201A, FRANKLIN, TN 37067-6441
(615) 390-2865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/24/2025
Last updated
01/12/2026
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