Life Reimagined LLC

NPI #1558141606 in Sparta, Tennessee

Provider Information

NPI Number
1558141606
Entity Type
Organization
Organization Name
Life Reimagined LLC
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Oct 4, 2023
Last Updated
Oct 10, 2023

Practice Location

Address
3380 WALNUT GROVE RD
City
Sparta
ZIP Code
38583-5365
Phone
(931) 345-3968

Authorized Official

Name
KIMBERLY A SPIVEY, FNP
Title
OWNER
Phone
(931) 345-3968

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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