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General NPI Number Information
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NPI Number | 1760399562
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Entity Type | Organization
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Legal Business Name | MIND BODY SOUL THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 8321 HUNTERS MEADOW LN
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City | BARTLETT
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State | TN
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Zip | 38002-8453
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Country | US
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Telephone | 901-430-4438
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Fax |
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Provider Business Mailing Address
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Address Line | 501 UNION ST STE 545 PMB 624541
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City | NASHVILLE
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State | TN
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Zip | 37219-1876
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICAL THERAPIST
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Name | ERICA WILLIAMSON
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Credential | LCSW
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Telephone | 901-430-4438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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