GREEN MINDS MATTER LLC NPI 1194325308

NPI Information

  • NPI: 1194325308
  • Provider Name: GREEN MINDS MATTER LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5805 MCNUTT RD
    SANTA TERESA, NM
    ZIP 88008
  • Phone: (469) 569-8665

Map and Directions

Get Directions

NPI Details

GREEN MINDS MATTER LLC is a psychiatric/mental health nurse practitioner in Santa Teresa, NM. GREEN MINDS MATTER LLC NPI is 1194325308. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5805 MCNUTT RD
SANTA TERESA, NM
ZIP 88008-001
Phone: (469) 569-8665

The provider's authorized official is Irene Okoronkwo .
The authorized official title is Founder and has the following contact phone number (469) 569-8665.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI