Organization
MIND BODY CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ROBERTINI LPC-MHSP NCC (CEO/PRESIDENT)
(615) 369-9897
Entity
Organization
Contact information
Practice address
1422 KNIGHT DR, MURFREESBORO, TN 37128-6760
(615) 369-9897
(888) 782-8545
Mailing address
PO BOX 330931, MURFREESBORO, TN 37133-0931
(615) 369-9897
(888) 782-8545
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016682
—
TN
Enumeration date
01/05/2016
Last updated
01/05/2016
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