Organization
MINDS MATTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE PAGE (MANAGER)
(931) 561-5252
Entity
Organization
Contact information
Practice address
1989 MADISON ST, CLARKSVILLE, TN 37043-5067
(931) 408-9909
Mailing address
401 SALEM RD, CLARKSVILLE, TN 37040-7819
(615) 587-2891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
10/24/2019
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