Healthcare Provider Details

I. General information

NPI: 1265370316
Provider Name (Legal Business Name): RESILIENT MINDS PMHNP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14518 SAINT CHARLES DR
OLIVE BRANCH MS
38654-2067
US

IV. Provider business mailing address

14518 SAINT CHARLES DR
OLIVE BRANCH MS
38654-2067
US

V. Phone/Fax

Practice location:
  • Phone: 901-677-3444
  • Fax:
Mailing address:
  • Phone: 901-677-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MEADORS
Title or Position: PMHNP-BC
Credential: APRN
Phone: 901-677-3444