| Minds Matter | |
|
118 Medical Ct Clarksville TN 37043-4602 | |
| (931) 408-9909 | |
| Not Available |
| Full Name | Minds Matter |
|---|---|
| Speciality | Social Worker |
| Location | 118 Medical Ct, Clarksville, Tennessee |
| Authorized Official Name and Position | Terrance Page (MEMBER) |
| Authorized Official Contact | 9315615252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds Matter 118 Medical Ct Clarksville TN 37043-4602 Ph: (931) 408-9909 | Minds Matter 118 Medical Ct Clarksville TN 37043-4602 Ph: (931) 408-9909 |
| NPI Number | 1730740309 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 6002204559 |
|---|---|
| Medicare Enrollment ID | O20211102002297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730740309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Louise D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457631509 PECOS PAC ID: 7113257437 Enrollment ID: I20211102002432 |
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