Organization
MEMPHIS CENTER FOR MINDFUL LIVING, LLC
Active
Organization
MEMPHIS CENTER FOR MINDFUL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY CHRISTINE BALENTINE PH.D. (EXECUTIVE DIRECTOR)
(901) 537-2900
Entity
Organization
Contact information
Practice address
4646 POPLAR AVE STE 435, MEMPHIS, TN 38117-4443
(901) 537-2900
(901) 537-2901
Mailing address
4646 POPLAR AVE STE 435, MEMPHIS, TN 38117-4443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2519
TN
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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