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BEAUTIFUL MINDS MENTAL HEALTH SERVICES
NPI 1770213928
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Active since June 11, 2022
11100 OLD HWY 64, BOLIVAR, TN 38008(901) 300-6808 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2022, Sep 7, 2022, Jun 11, 2022 (3 updates tracked since 2022).

About Beautiful Minds Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUTIFUL MINDS MENTAL HEALTH SERVICES (NPI 1770213928) is a healthcare organization registered as a psychiatric/mental health in Bolivar, Tennessee and active in the NPI registry since June 2022. The organization lists Shanna Shackelford, Aprn, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1770213928
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBEAUTIFUL MINDS MENTAL HEALTH SERVICES
Location Address11100 OLD HWY 64Bolivar, TN 38008
Mailing AddressPo Box 25013Memphis, TN 38125-8001 · (901) 300-6808
Phone(901) 300-6808
Organization SubpartNo
Authorized OfficialShanna ShackelfordAprn, Pmhnp · (901) 300-6808
Enumeration DateJune 11, 2022
Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1770213928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11100 OLD HWY 64, Bolivar, TN 38008
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beautiful Minds Mental Health Services's NPI number?

The NPI number for Beautiful Minds Mental Health Services is 1770213928. It was assigned to this organization in the NPPES registry on June 11, 2022.

Where is Beautiful Minds Mental Health Services located?

Beautiful Minds Mental Health Services is located at 11100 Old Hwy 64, Bolivar, TN 38008. The listed phone number is (901) 300-6808.

What is Beautiful Minds Mental Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Beautiful Minds Mental Health Services was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.