| Imind Geriatrics And Behavioral Health Llc | |
|
65 Murray Guard Dr Jackson TN 38305-3628 | |
| (731) 300-0810 | |
| Not Available |
| Full Name | Imind Geriatrics And Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 65 Murray Guard Dr, Jackson, Tennessee |
| Authorized Official Name and Position | David Cook (MANAGER) |
| Authorized Official Contact | 7312673154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imind Geriatrics And Behavioral Health Llc 65 Murray Guard Dr Jackson TN 38305-3628 Ph: (731) 300-0810 | Imind Geriatrics And Behavioral Health Llc 65 Murray Guard Dr Jackson TN 38305-3628 Ph: (731) 300-0810 |
| NPI Number | 1265174775 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 2163800368 |
|---|---|
| Medicare Enrollment ID | O20220531001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265174775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Bethany Paige Bledsoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831298587 PECOS PAC ID: 1052319134 Enrollment ID: I20061128000468 |
| Provider Name | April D Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982843231 PECOS PAC ID: 4082763651 Enrollment ID: I20090601000564 |
| Provider Name | Anna M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721314 PECOS PAC ID: 2163611104 Enrollment ID: I20110106000872 |
| Provider Name | Brandy L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104080126 PECOS PAC ID: 2769559889 Enrollment ID: I20120905000810 |
| Provider Name | Meredith Massler Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073911889 PECOS PAC ID: 0941524128 Enrollment ID: I20150116000639 |
| Provider Name | Melani Sidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091122 PECOS PAC ID: 8426321332 Enrollment ID: I20170828004763 |
| Provider Name | Laura A Fieser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083188668 PECOS PAC ID: 8527488642 Enrollment ID: I20201012001220 |
Mind And Body Healthcare Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 137 Terrace Pl, Jackson, TN 38301 Phone: 731-435-3060 | |
Southeastern Psychology Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 731-474-1242 | |
Anu Counseling And Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir Ste 7, Jackson, TN 38305 Phone: 731-608-0618 | |
Fouche Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 860-230-6947 | |
Ashlie Edwards Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Stonebridge Blvd Ste 104, Jackson, TN 38305 Phone: 615-428-8237 | |
Advanced Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bent Creek Ln, Jackson, TN 38305 Phone: 731-668-6566 Fax: 731-660-8739 | |
Imind Mental Health And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 65 Murray Guard Dr, Jackson, TN 38305 Phone: 731-363-5584 |