=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659231819
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROKIND MENTAL HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/12/2025
-----------------------------------------------------
Last Update Date | 11/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2055 N MOUNT JULIET RD STE 204
-----------------------------------------------------
City | MT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-4296
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-488-3592
-----------------------------------------------------
Fax | 615-845-1777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2055 N MOUNT JULIET RD STE 204
-----------------------------------------------------
City | MT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-4296
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-488-3592
-----------------------------------------------------
Fax | 615-845-1777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | STEFANIE KREIDLER
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 248-535-8231
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------