Organization
IMANI BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LYNCH PH.D. (MEMBER)
(615) 669-8372
Entity
Organization
Contact information
Practice address
93 BEAUMONT ST, CLARKSVILLE, TN 37040-3217
(931) 919-2686
Mailing address
93 BEAUMONT ST, CLARKSVILLE, TN 37040-3217
(931) 919-2686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/18/2023
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