Healthcare Provider Details

I. General information

NPI: 1164333662
Provider Name (Legal Business Name): MINTED MINDS OCCUPATIONAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 BELL RD
MONTGOMERY AL
36117-4369
US

IV. Provider business mailing address

2571 BELL RD
MONTGOMERY AL
36117-4369
US

V. Phone/Fax

Practice location:
  • Phone: 334-659-5715
  • Fax:
Mailing address:
  • Phone: 334-659-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. TENIKA S DANLEY
Title or Position: OWNER
Credential: OTR/L, OTD
Phone: 336-659-5715