Wellmind, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLMIND, LLC

Practice address

8304 Walnut Grove Rd
Cordova, TN 38018-6869

Phone

(901) 501-7700

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. John Redmond, APRN/PMHNP-BC

Title

Lead Nurse Practitioner

Phone

(901) 870-0258

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1760105431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 WALNUT GROVE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186869",
            "telephone_number": "901-501-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 WALNUT GROVE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186869",
            "telephone_number": "901-501-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LEAD NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-870-0258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN/PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cordova, TN
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• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.