Healthcare Provider Details

I. General information

NPI: 1760399562
Provider Name (Legal Business Name): MIND BODY SOUL THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 HUNTERS MEADOW LN
BARTLETT TN
38002-8453
US

IV. Provider business mailing address

501 UNION ST STE 545 PMB 624541
NASHVILLE TN
37219-1876
US

V. Phone/Fax

Practice location:
  • Phone: 901-430-4438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERICA WILLIAMSON
Title or Position: OWNER/ CLINICAL THERAPIST
Credential: LCSW
Phone: 901-430-4438