| Mindful Horizon Mental Health Llc | |
|
6000 Poplar Ave Ste 250 Memphis TN 38119-3974 | |
| (901) 675-6084 | |
| (901) 609-1499 |
| Full Name | Mindful Horizon Mental Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6000 Poplar Ave Ste 250, Memphis, Tennessee |
| Authorized Official Name and Position | Devennse Barnes (PMHNP) |
| Authorized Official Contact | 9016756084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Horizon Mental Health Llc 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (901) 675-6084 | Mindful Horizon Mental Health Llc 6000 Poplar Ave Ste 250 Memphis TN 38119-3974 Ph: (901) 675-6084 |
| NPI Number | 1407672595 |
|---|---|
| Provider Enumeration Date | 11/23/2024 |
| Last Update Date | 11/23/2024 |
| Certification Date | 11/23/2024 |
| Medicare PECOS PAC ID | 5890225858 |
|---|---|
| Medicare Enrollment ID | O20250206001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407672595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Devennse Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730918970 PECOS PAC ID: 6709316763 Enrollment ID: I20250206003062 |
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