MEDICARE: MIND AND MOTHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1144169475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND AND MOTHER

Provider Business Mailing Address
First Line	:	808 W 17TH AVE
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-4133
Country	:	US
Telephone Number	:	620-474-4897
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 W 17TH AVE
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-4133
Country	:	US
Telephone Number	:	620-474-4897
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	SYDNEY HOOVER
Credential	:	LMSW
Telephone Number	:	620-474-4897

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “MIND AND MOTHER ” Practice Location

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