Organization
WELLMIND, LLC
Active
Organization
WELLMIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REDMOND APRN/PMHNP-BC (LEAD NURSE PRACTITIONER)
(901) 870-0258
Entity
Organization
Contact information
Practice address
8304 WALNUT GROVE RD, CORDOVA, TN 38018-6869
(901) 501-7700
Mailing address
8304 WALNUT GROVE RD, CORDOVA, TN 38018-6869
(901) 501-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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