| Mind Above Matter, Llc | |
|
5500 Norris Street Fort Worth TX 76119 | |
| (817) 447-3001 | |
| Not Available |
| Full Name | Mind Above Matter, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5500 Norris Street, Fort Worth, Texas |
| Authorized Official Name and Position | Jeff Isaac (CONTROLLER) |
| Authorized Official Contact | 7329277080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Above Matter, Llc Po Box 446 Lakewood NJ 08701-0446 Ph: (732) 927-7080 | Mind Above Matter, Llc 5500 Norris Street Fort Worth TX 76119 Ph: (817) 447-3001 |
| NPI Number | 1124795885 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124795885 | NPI | - | NPPES |
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