Provider Demographics
NPI:1689325359
Name:MINDFUL INFUSIONS OF TENNESSEE PLLC
Entity Type:Organization
Organization Name:MINDFUL INFUSIONS OF TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-472-1017
Mailing Address - Street 1:509 NEW HIGHWAY 96 W STE 101
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2545
Mailing Address - Country:US
Mailing Address - Phone:615-472-1017
Mailing Address - Fax:615-472-8631
Practice Address - Street 1:509 NEW HIGHWAY 96 W STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2545
Practice Address - Country:US
Practice Address - Phone:615-472-1017
Practice Address - Fax:615-472-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty