Organization
MIND BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE VANCE (CHIEF EXECUTIVE OFFICER)
(615) 715-5022
Entity
Organization
Contact information
Practice address
1201 LIBERTY PIKE STE 201A, FRANKLIN, TN 37067-5646
(000) 000-0000
Mailing address
1201 LIBERTY PIKE STE 201A, FRANKLIN, TN 37067-5646
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/27/2022
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