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Organization
A MINDS' WAY HOME
Active
Organization
A MINDS' WAY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TALEA L BROWN FNP (EXECUTIVE DIRECTOR/PROVIDER)
(731) 693-2047
Entity
Organization
Contact information
Practice address
364 N PARKWAY STE 6, JACKSON, TN 38305-2874
(731) 693-2047
Mailing address
364 N PARKWAY STE 6, JACKSON, TN 38305-2874
(731) 693-2047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007636
—
TN
Enumeration date
03/17/2021
Last updated
03/17/2021
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