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Organization

BEAUTIFUL MINDS MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANNA SHACKELFORD DNP (APRN, PMHNP)
(901) 300-6808
Entity
Organization

Contact information

Practice address
11100 OLD HWY 64, BOLIVAR, TN 38008
(901) 300-6808
Mailing address
PO BOX 25013, MEMPHIS, TN 38125-8001
(901) 300-6808

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/11/2022
Last updated
09/19/2023
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