Provider Demographics
NPI:1821652744
Name:MINDS MATTER 2, LLC
Entity Type:Organization
Organization Name:MINDS MATTER 2, LLC
Other - Org Name:WE SAGE HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,LPC-S,NCC
Authorized Official - Phone:205-260-1014
Mailing Address - Street 1:500 SOUTHLAND DR STE 232
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3735
Mailing Address - Country:US
Mailing Address - Phone:205-260-1014
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTHLAND DR STE 232
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35226-3735
Practice Address - Country:US
Practice Address - Phone:205-260-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty