Organization
MIND MATTERS LLC
Active
Organization
MIND MATTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SMIDT (OWNER)
(855) 621-8250
Entity
Organization
Contact information
Practice address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 719-9110
Mailing address
1875 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814-4928
(208) 719-9110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
10/22/2021
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