| Mindflow Llc | |
|
5341 Virginia Way Brentwood TN 37027-7531 | |
| (205) 903-2483 | |
| Not Available |
| Full Name | Mindflow Llc |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 5341 Virginia Way, Brentwood, Tennessee |
| Authorized Official Name and Position | Gerald Anthony Faraino (CEO) |
| Authorized Official Contact | 2059032483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindflow Llc 5341 Virginia Way Brentwood TN 37027-7531 Ph: () - | Mindflow Llc 5341 Virginia Way Brentwood TN 37027-7531 Ph: (205) 903-2483 |
| NPI Number | 1003534165 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003534165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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