Organization
INLIGHTENING MINDS TELEPSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JA'QUAY BRISTER DNP, APRN, PMHNP-BC (OWNER/ MENTAL HEALTH APRN)
(901) 827-1780
Entity
Organization
Contact information
Practice address
2095 EXETER RD STE 80-384, GERMANTOWN, TN 38138-3963
(901) 609-8218
Mailing address
2095 EXETER RD STE 80-384, GERMANTOWN, TN 38138-3963
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/12/2024
Last updated
06/24/2024
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