Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind and Body Wellness Clinic

Organization Child & Adolescent Psychiatry Physician · NPI 1063048668

Mind and Body Wellness Clinic is a Child & Adolescent Psychiatry Physician in Cordova, Tennessee. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1176 Vickery Ln Ste 100
Cordova, TN 38016-0631
Phone: (901) 737-1992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1063048668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Malady — Credentialing · (901) 737-1992
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address1176 Vickery Ln Ste 100, Cordova, TN 38016-0631

Other providers in Cordova