Organization Active NPI

Mind Body Optimization Tennessee, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
National Provider Identifier
1447068309
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND BODY OPTIMIZATION TENNESSEE, L.L.C.
Practice address
740 Cool Springs Blvd Ste 140
Franklin, TN 37067-6449
Phone
(615) 234-9606
Fax
(615) 278-3555
NPI assigned
Dec 24, 2024
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MIND BODY OPTIMIZATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Sydney Reece, LPC
Title
Vice President, Operations
Phone
(682) 477-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

740 Cool Springs Blvd Ste 140
Franklin, TN 37067-6449

Mailing address

16 Village LN Ste 200
Colleyville, TX 76034-2948

Other practice location 1

10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952
Phone (865) 568-8006

Other practice location 2

7480 Ziegler Rd
Chattanooga, TN 37421-4943
Phone (682) 477-3705

National Provider Directory

National Provider Directory

Locations

7480 Ziegler Rd
Chattanooga, TN 37421
Phone (423) 698-8981

10904 Kingston Pike
Ste 101
Knoxville, TN 37934
Phone (865) 568-5489

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1447068309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD STE 140",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676449",
            "telephone_number": "615-234-9606",
            "fax_number": "615-278-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10904 Kingston Pike Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "865-568-8006",
            "fax_number": "865-895-5580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7480 Ziegler Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214943",
            "country_code": "US",
            "telephone_number": "682-477-3705",
            "fax_number": "423-722-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY OPTIMIZATION TENNESSEE, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND BODY OPTIMIZATION, INC.",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "682-477-3705",
        "authorized_official_credential": "LPC"
    },
    "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": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.