Mindful Mental Health of Alabama LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MENTAL HEALTH OF ALABAMA LLC

Practice address

300 N Dean Rd Ste 5-208
Auburn, AL 36830-4404

Phone

(888) 777-6945

NPI assigned

Jan 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jermaine Alexander

Title

President

Phone

(706) 536-8345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily W Rudd, LCSW

  • Clinical Social Worker
  • Snellville, GA
  • NPI 1508507500
  Medicare reassignment NPD
• Erica Danielle Williams, LMSW

  • Social Worker
  • Dublin, GA
  • NPI 1225754153
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1093421737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD STE 107I",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075641",
            "telephone_number": "888-777-6945",
            "fax_number": "334-470-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N DEAN RD STE 5-208",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304404",
            "telephone_number": "888-777-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MENTAL HEALTH OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-536-8345"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Kevin Miller, DC, MSC, ATC, CPED
• Monique Lashanta Miller, PT
• Mills Physican Acute Care Services, LLC
• Mills Wellness and Hydration, LLC
• Christopher Mills, M.D.
• Garren Minor, PT, DPT
• Miracle Ear
• Bailee Mitchell
• Haley R Mitchell
• John W Mitchell, MD

• Clinical Social Worker in Auburn, AL
• Providers in Auburn, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.