Provider Demographics
NPI:1295227536
Name:MIND OVER MATTERS INSTITUTE PLLC
Entity Type:Organization
Organization Name:MIND OVER MATTERS INSTITUTE PLLC
Other - Org Name:MIND OVER MATTERS INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER/ MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLI
Authorized Official - Middle Name:DO NASCIMENTO
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BC-TMH, NCC
Authorized Official - Phone:703-901-9361
Mailing Address - Street 1:32 JOHN ISLIP STREET
Mailing Address - Street 2:2 CLELAND HOUSE
Mailing Address - City:LONDON
Mailing Address - State:LONDON
Mailing Address - Zip Code:SW1P4FF
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4221 SW JUNEAU ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1621
Practice Address - Country:US
Practice Address - Phone:206-717-8574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-02
Last Update Date:2018-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604-182-661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty