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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