MIND MATTERS, LLC (NPI# 1023347838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023347838 |
Entity Type | Organization |
Organization Name | MIND MATTERS, LLC |
Other Organization Name | SERENITY CENTER |
Practice Address |
3146 Broad St Chattanooga TN 37408-3095 |
Practice Telephone | 4238000483 |
Practice Fax Number | 4235218088 |
Mailing Telephone | 4238000483 |
Mailing Fax Number | 4235218088 |
Enumeration Date | 2009-12-08 |
Last Update Date | 2014-10-22 |
Authorized Official Name | DR. SUSAN ELAINE HICKMAN (OWNER) |
Authorized Official Telephone | 4238000483 |
Authorized Official Credential | PH.D., PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000002807 | TN | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Serenity Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023265774 | Mind Matters, LLC | Specialist | 1907 Acklen Ave, Nashville, TN 37212-3713 | 2008-08-25 |
1487044251 | Mind Matters, LLC | Community/Behavioral Health | 701 Cherokee Blvd, Suite 139, Chattanooga, TN 37405-3339 | 2015-01-30 |
1427395029 | Mind Matters, LLC | Clinic/Center | 3097 Broad St, Chattanooga, TN 37408-3093 | 2013-01-16 |
1821301631 | Mind Matters, LLC | Counselor | 144 N Texas Ave, Mercedes, TX 78570-2745 | 2010-07-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | MIND MATTERS, LLC | 754 Massachusetts Ave., Arlington, MA 02476-0000 |
New York State Corporations | MIND MATTERS, LLC | 444 East 82nd St., #30b, New York, Ny 10028 |
Street Address |
3146 BROAD ST |
City | CHATTANOOGA |
State | TN |
Zip Code | 37408-3095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043766975 | Athletic Edge Physical Therapy | Clinic/Center | 1440 Adams St Ste A, Chattanooga, TN 37408 | 2016-08-31 |
1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
Find all providers in zip 37408 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1851692099 | George Henry Bercaw | Psychologist | 1145 N Concord Rd, Chattanooga, TN 37421-3848 | 2010-11-04 |
1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
1134109788 | Linwood Alan Robertson | Psychologist | 4312 South Ter, Chattanooga, TN 37412-2904 | 2006-01-19 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37408 |
Please comment or provide details below to improve the information on MIND MATTERS, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.