Mindful Haven Mental Health Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL HAVEN MENTAL HEALTH SERVICES

Practice address

529 Brandies Cir
Murfreesboro, TN 37128-0710

Phone

(615) 551-4980

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Myrvienne Jackson, NPNPI 1013685957

Title

Owner

Phone

(347) 479-0478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Myrvienne Jackson, FNP

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1013685957
  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1407681885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BRANDIES CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371280710",
            "telephone_number": "615-551-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BRANDIES CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371280710",
            "telephone_number": "615-551-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HAVEN MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MYRVIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-479-0478",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Renee Mills
• Rebecca Mills, PHARMD
• Russell Henry Mills, PH.D.
• Teyiena Kimbriel Mims, MSN, APRN, PMHNP
• Mind Body Connection LLC
• Caleb David Miner, P.A.-C
• Patricia Minerd
• Ryan Minyard
• Guy Britton Mioton, MD
• Brian Daniel Miser, RN, FNP

• Psychiatry Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.