Organization
OPEN MINDS PSYCHIATRIC AND MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL BERRY (CREDENTIALING MANAGER)
(386) 703-9084
Entity
Organization
Contact information
Practice address
308 8TH ST STE B, BRISTOL, TN 37620-2228
(000) 000-0000
Mailing address
308 8TH ST STE B, BRISTOL, TN 37620-2228
(423) 646-4142
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
11/26/2023
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