Mindset Wellness Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MINDSET WELLNESS CENTER, LLC

Doing business as

LUV Body Wellness Center

Practice address

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777

Phone

(470) 988-2639

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Omolola OtubagaNPI 1033595566

Title

Owner

Phone

(470) 988-2639

Specialties & licenses 1

Addresses

Other names 1

• LUV Body Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omolola Otubaga, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, GA
  • NPI 1033595566
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1932825783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 HIGHWAY 42 UNIT 246",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944042",
            "telephone_number": "470-646-3738",
            "fax_number": "888-910-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "470-988-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Bradford Sq Ste B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302151902",
            "country_code": "US",
            "telephone_number": "470-646-3738",
            "fax_number": "888-910-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDSET WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "OTUBAGA",
        "authorized_official_first_name": "OMOLOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-988-2639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUV Body Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millennium Mental Health Concepts LLC
• Jill Miller, O.D.
• Brenton Faulkner Milner, M.D.
• Mind Power LLC
• Mindful Healing LLC
• Katie Mischke, PA
• Renetta Mischke, M.S., CCC-SLP
• Betty L. Mitchell, D.C.
• Glenda Lu Mitchell, MS
• MMH Visions LLC

• Multi-Specialty Clinic/Center in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.