Mind Matters, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L000000014934 Issued in TN

Legal business name

MIND MATTERS, LLC

Doing business as

Serenity Center

Practice address

701 Cherokee Blvd
Suite 139
Chattanooga, TN 37405-3339

Phone

(423) 800-0483

Fax

(423) 521-8088

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susan Elaine Hickman, PHD, PSYD

Title

Psychologist/Ceo

Phone

(423) 800-0483

Specialties & licenses 1

Addresses

Other names 1

• Serenity Center Doing business as

Tax ID family

Mind Matters LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mind Matters, LLC

  • Clinical Psychologist
  • Chattanooga, TN
  • NPI 1023347838
  NPD tax ID
• Mind Matters, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chattanooga, TN
  • NPI 1427395029
  NPD tax ID

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1487044251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E 10TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033003",
            "telephone_number": "423-800-0483",
            "fax_number": "423-521-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHEROKEE BLVD",
            "address_2": "SUITE 139",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053339",
            "telephone_number": "423-800-0483",
            "fax_number": "423-521-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "423-800-0483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L000000014934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Hairston Mims, MD
• Kendra Mina, LCSW
• Bobbie S Mincy, LPN
• Mind Matters, LLC
• Mind Matters, LLC
• Minds of All Kinds
• Natashau McKay Mines, APRN, FNP-C
• Ernest Alexander Minges, D.D.S.
• Robert P N Mingus, M.D.
• Diala A Minkara, APRN

• Community/Behavioral Health Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.