Organization
MENDING MINDS COUNSELING AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTRICE HANSEN (OWNER/EMPLOYEE)
(901) 674-5419
Entity
Organization
Contact information
Practice address
312 N MISSOURI ST STE 1, WEST MEMPHIS, AR 72301-3186
(901) 674-5419
Mailing address
3102 KENNETH ST, MEMPHIS, TN 38128-4917
(901) 674-5419
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
10/03/2022
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