Healthcare Provider Details

I. General information

NPI: 1679617955
Provider Name (Legal Business Name): MINDS MATTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 W 64TH ST STE 125
MISSION KS
66202-4007
US

IV. Provider business mailing address

6701 W 64TH ST STE 125
MISSION KS
66202-4007
US

V. Phone/Fax

Practice location:
  • Phone: 913-789-9900
  • Fax: 913-789-9900
Mailing address:
  • Phone: 913-789-9900
  • Fax: 913-789-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2174
License Number StateKS

VIII. Authorized Official

Name: KATIE LINN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 913-348-4228