Connected-Mind, Body, Spirit, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONNECTED-MIND, BODY, SPIRIT, PLLC

Practice address

325 Ivy Bend Cir
Clarksville, TN 37043-6867

Phone

(931) 249-5636

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christina Clark, PMHNP-BC

Title

Sole Owner

Phone

(931) 229-0011

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1366197659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 IVY BEND CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436867",
            "telephone_number": "931-249-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 IVY BEND CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436867",
            "telephone_number": "931-249-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED-MIND, BODY, SPIRIT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "931-229-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara L Confer, LPC-MHSP
• Diane Conley, LADACII, CAP
• Veronica Conley
• Brian Conn, DC
• Connect Counseling Center, LLC
• Mary Catherine Connell
• Gregory Laurent Conner, D.O.
• Callie Marie Connors, RBT
• Heather Conrad-Smith
• Kristina E Conroy, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.