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Organization

PROSPERITY MENTAL WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STASHA NICOLE HAMPTON APRN, PMHNP-BC (OWNER, HEALTHCARE PROVIDER)
(629) 888-4161
Entity
Organization

Contact information

Practice address
5906 CHARLOTTE PIKE STE D, NASHVILLE, TN 37209-3181
(615) 828-0884
Mailing address
5906 CHARLOTTE PIKE STE D, NASHVILLE, TN 37209-3181
(615) 828-0884

Taxonomy

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

Other

Enumeration date
08/02/2023
Last updated
09/07/2023
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