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Organization
MIND & MATTER BEHAVIORAL HEALTH, LLC
Active
Organization
MIND & MATTER BEHAVIORAL HEALTH, LLC
Active
Other names
Mind & Matter Behavioral Health, Kintsugi Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN ANNAM PMHNP-BC (ARNP)
(319) 512-8800
Entity
Organization
Contact information
Practice address
209 E. BURLINGTON ST., IOWA CITY, IA 52240-1677
(319) 512-8800
Mailing address
209 E. BURLINGTON ST., IOWA CITY, IA 52240-1677
(319) 512-8800
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2026
Last updated
09/16/2026
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