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Organization

CONNECTED-MIND, BODY, SPIRIT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINA CLARK PMHNP-BC (SOLE OWNER)
(931) 229-0011
Entity
Organization

Contact information

Practice address
325 IVY BEND CIR, CLARKSVILLE, TN 37043-6867
(931) 249-5636
Mailing address
325 IVY BEND CIR, CLARKSVILLE, TN 37043-6867
(931) 249-5636

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/16/2022
Last updated
02/16/2022
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