MIND OVER MATTER LLC (NPI# 1700402955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700402955 |
| Entity Type | Organization |
| Organization Name | MIND OVER MATTER LLC |
| Practice Address |
702 N Main St Opp AL 36467-1626 |
| Mailing Address |
29289 Beulah Church Rd Opp AL 36467-4307 |
| Practice Telephone | 3344560300 |
| Mailing Telephone | 3344560300 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MR. DAVID RUSSELL ADAMS (CRNP/ OWNER) |
| Authorized Official Telephone | 3344560300 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 218 Hospital Ave Ste D, Ozark, AL 363602072 | 3344560300 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MIND OVER MATTER LLC | 1465 Post Road East, Suite 100, Westport, CT 06880 |
| Street Address |
702 N MAIN ST |
| City | OPP |
| State | AL |
| Zip Code | 36467-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158578 | David Russell Adams | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2020-06-11 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1477032795 | Mizell Memorial Hospital, Inc. | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2018-08-08 |
| 1689165771 | Ciara O'megan Burrows | Social Worker | 702 N Main St, Opp, AL 36467-1626 | 2018-05-23 |
| 1982117412 | Nicholas Bass | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-11-07 |
| 1174042501 | Samantha Jean Mccollough | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-09-18 |
| 1679009286 | Southland Hospitalist At Opp, Pllc | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2017-05-03 |
| 1659702546 | Southland Medical Solutions of Opp Pllc | Emergency Medicine | 702 N Main St, Opp, AL 36467-1626 | 2013-12-03 |
| 1831397017 | Vincent E. Martin, M.d., P.C. | Radiology | 702 N Main St, Opp, AL 36467-1626 | 2007-07-10 |
| 1982800801 | Jerry Reed | Nurse Anesthetist, Certified Registered | 702 N Main St, Opp, AL 36467-1626 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146548 | Still Waters Msssage | Massage Therapist | 1800 W Cummings Ave, Opp, AL 36467 | 2015-10-16 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912327099 | George Lawrence Arnett | Hearing Instrument Specialist | 2123 Highway 84 West, Opp, AL 36467 | 2014-04-16 |
| 1811313042 | Quality Hearing Center LLC | Hearing Instrument Specialist | 2123 Hwy 84 W., Opp, AL 36467 | 2014-03-12 |
| 1346372505 | Jeffrey Harold Worley | Dentist | 403 N Brantley St, Opp, AL 36467 | 2007-03-12 |
| 1649210600 | Opp Health and Rehabilitation, LLC | Skilled Nursing Facility | 115 Paulk Ave, Opp, AL 36467 | 2006-06-07 |
| 1770616989 | Joshua Driver PC | Optometrist | 604 N Main St Ste A, Opp, AL 36467-1600 | 2007-03-14 |
| 1932653722 | Andrew Scott Carter | Optometrist | 604 N Main St, Opp, AL 36467-1600 | 2016-08-09 |
| 1972679033 | Joshua Jonathan Driver | Optometrist | 604 N Main St, Suite A, Opp, AL 36467-1600 | 2006-11-28 |
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| Find all providers in zip 36467 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1326652363 | Compassion Counseling, LLC | Clinic/Center | 600 Crosscreek Trl, Pelham, AL 35124-1566 | 2020-09-08 |
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| 1801400320 | Honest T LLC | Clinic/Center | 76 Boykin Lakes Blvd, Pike Road, AL 36064-3718 | 2020-09-02 |
| 1609488113 | Alexandra Baugh LLC | Clinic/Center | 2025 Shady Crest Dr, Hoover, AL 35216-5417 | 2020-08-18 |
| 1396360574 | Creative Therapeutic Solutions LLC | Clinic/Center | 3536 Vann Rd Ste A12, Birmingham, AL 35235-3208 | 2020-06-12 |
| 1124654421 | Apollo Counseling and Mental Health Services, LLC | Clinic/Center | 1117 22nd St S Ste 208, Birmingham, AL 35205-2813 | 2020-03-18 |
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| 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.