Provider Demographics
NPI:1770382087
Name:MIND OVER MATTER NEUROFEEDBACK AND COUNSELING CO
Entity type:Organization
Organization Name:MIND OVER MATTER NEUROFEEDBACK AND COUNSELING CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-686-7058
Mailing Address - Street 1:4122 HIDDEN ACRE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-7156
Mailing Address - Country:US
Mailing Address - Phone:541-972-8184
Mailing Address - Fax:
Practice Address - Street 1:4122 HIDDEN ACRE RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-7156
Practice Address - Country:US
Practice Address - Phone:541-972-8184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty