BLOOMING MINDS COUNSELING LLC NPI 1396496790

NPI Information

  • NPI: 1396496790
  • Provider Name: BLOOMING MINDS COUNSELING LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 111 E MORFORD ST
    MCMINNVILLE, TN
    ZIP 37110
  • Phone: (931) 386-6300

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NPI Details

BLOOMING MINDS COUNSELING LLC is a marriage family therapist in Mcminnville, TN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. BLOOMING MINDS COUNSELING LLC NPI is 1396496790. The provider is registered as an organization entity type.

The provider's business location address is:

111 E MORFORD ST
MCMINNVILLE, TN
ZIP 37110-521
Phone: (931) 386-6300
Fax: (931) 386-6301

The provider's authorized official is Tammy Pawlak .
The authorized official title is Owner and has the following contact phone number (931) 387-6004.

The enumeration date for this NPI number is 1/17/2022 and was last updated on 12/29/2025.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2101YM0800XCounselorMental HealthNo
3101Y00000XCounselorNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5174400000XSpecialistNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7101YP2500XCounselorProfessionalNo
8106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023421302OTHERTENNESSEENPI 1
2Q0714772MEDICAIDTENNESSEE
31396496790OTHERTENNESSEENPI 2

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

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