Provider Demographics
NPI:1003665167
Name:HEALTHY MINDS TENNESSEE PLLC
Entity type:Organization
Organization Name:HEALTHY MINDS TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAROOQUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:629-294-4520
Mailing Address - Street 1:2000 GLEN ECHO RD STE 115
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2877
Mailing Address - Country:US
Mailing Address - Phone:629-294-4520
Mailing Address - Fax:615-880-6004
Practice Address - Street 1:2000 GLEN ECHO RD STE 115
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2877
Practice Address - Country:US
Practice Address - Phone:629-294-4520
Practice Address - Fax:615-880-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)