Healthcare Provider Details

I. General information

NPI: 1942129978
Provider Name (Legal Business Name): MIND OVER MATTER MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

IV. Provider business mailing address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

V. Phone/Fax

Practice location:
  • Phone: 256-520-0737
  • Fax: 256-228-5219
Mailing address:
  • Phone: 256-520-0737
  • Fax: 256-228-5219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LINDA MITCHELL
Title or Position: NURSE PRACTITIONER
Credential: ACNP
Phone: 256-520-0737