Healthcare Provider Details

I. General information

NPI: 1225950884
Provider Name (Legal Business Name): MINDFUL MATTERS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4213 GOVERNMENT ST STE A
BATON ROUGE LA
70806-5898
US

IV. Provider business mailing address

9015 PECAN TREE DR
BATON ROUGE LA
70810-7041
US

V. Phone/Fax

Practice location:
  • Phone: 225-371-0058
  • Fax:
Mailing address:
  • Phone: 225-371-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BREANNA GREEN
Title or Position: OWNER
Credential: LPC
Phone: 225-371-0058