Mind Clean LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIND CLEAN LLC

Practice address

246 Cypress Ave
Hattiesburg, MS 39401-5170

Phone

(661) 541-3264

NPI assigned

Aug 6, 2026

Last updated

Aug 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Fairly

Title

Sole Member

Phone

(661) 541-3284

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1497679922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CYPRESS AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015170",
            "telephone_number": "661-541-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CYPRESS AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015170",
            "telephone_number": "661-541-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CLEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "FAIRLY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "661-541-3284"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Kathryn Miller, LPC
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• Marlena Bradley Mims, WHNP
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• Minor Care Clinic
• Doris A Minor, CMHT

• Durable Medical Equipment & Medical Supplies in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.