Positive Minds Matter

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

POSITIVE MINDS MATTER

Practice address

1403 43Rd Ave
Gulfport, MS 39501-2545

Phone

(601) 691-1475

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Roni Lizana, LPC

Title

Owner

Phone

(601) 691-1475

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1336987767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 AUTUMN DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038159",
            "telephone_number": "601-691-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 43RD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012545",
            "telephone_number": "601-691-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MINDS MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "LIZANA",
        "authorized_official_first_name": "RONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-691-1475",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Womack Pollard, PH.D.
• Colby Pomeroy, LMFT
• Amy L Pontius, NP-C
• Asia Pope
• Lauren Porter, LMSW
• Mark A Postler, M.D.
• Jeffrey Steele Pounders, M.S, LPC
• Harley Pounds, LMSW
• Eileen A Powell, PMHNP
• Jillian Powell

• Multi-Specialty Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Multi-Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.