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Life Reimagined Llc
Psychiatric/Mental Health Nurse Practitioner in Sparta, Tennessee
NPI 1558141606

Life Reimagined Llc is a Psychiatric/Mental Health Nurse Practitioner based in Cookeville, TN and is specialized in Psychiatric/Mental Health. Life Reimagined Llc practices in Sparta, TN. The NPI Number for Life Reimagined Llc is 1558141606 and holds a License No. (Tennessee).

The current practice location address for Life Reimagined Llc is 3380 Walnut Grove Rd, Sparta, TN and can be reached out via phone at 931-345-3968 and via fax at 931-208-3484.

Location: 3380 Walnut Grove Rd, Sparta, TN, 38506-7179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558141606
Provider Name
Life Reimagined Llc
Credential
Provider Entity Type
Organization
Address
3380 Walnut Grove Rd, Sparta, TN, 38506-7179
Phone Number
931-345-3968
Fax Number
931-208-3484
Provider Enumeration Date
10/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3380 Walnut Grove Rd
City
Sparta
State
Tennessee
Zip
38583-5365
Phone Number
931-345-3968
Fax Number
931-208-3484
person
Provider Business Mailing Address Details
Address
3380 Walnut Grove Rd
City
Sparta
State
Tennessee
Zip
38583-5365
Phone Number
931-345-3968
Fax Number
931-208-3484
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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