| Mod Holistics Pllc | |
|
758 Walnut Knoll Ln Ste 201 Cordova TN 38018-3112 | |
| (901) 341-7200 | |
| (901) 545-3200 |
| Full Name | Mod Holistics Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 758 Walnut Knoll Ln Ste 201, Cordova, Tennessee |
| Authorized Official Name and Position | Tamara Johnson (CEO) |
| Authorized Official Contact | 9013417200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mod Holistics Pllc 758 Walnut Knoll Ln Ste 201 Cordova TN 38018-3112 Ph: (901) 341-7200 | Mod Holistics Pllc 758 Walnut Knoll Ln Ste 201 Cordova TN 38018-3112 Ph: (901) 341-7200 |
| NPI Number | 1568280071 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568280071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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