Provider Demographics
NPI:1447002001
Name:MIND MEND PSYCHIATRIC SERVICES, PLLC
Entity type:Organization
Organization Name:MIND MEND PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:931-309-4366
Mailing Address - Street 1:300 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-6649
Mailing Address - Country:US
Mailing Address - Phone:931-292-2993
Mailing Address - Fax:931-623-6190
Practice Address - Street 1:300 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-6649
Practice Address - Country:US
Practice Address - Phone:931-292-2993
Practice Address - Fax:931-623-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty