Healthcare Provider Details
I. General information
NPI: 1467318436
Provider Name (Legal Business Name): MIND OVER MATTER COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1239 73RD ST STE D
WINDSOR HEIGHTS IA
50324-1339
US
IV. Provider business mailing address
1239 73RD ST STE D
WINDSOR HEIGHTS IA
50324-1339
US
V. Phone/Fax
- Phone: 515-988-3799
- Fax:
- Phone: 515-988-3799
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NICHOLE
MICHELLE
MARTIN
Title or Position: OWNER
Credential: LMHC
Phone: 515-988-3799