Mind Above Matter Llc | |
5900 Hereford Dr Fort Worth TX 76179-3395 | |
(817) 447-3001 | |
Not Available |
Full Name | Mind Above Matter Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5900 Hereford Dr, Fort Worth, Texas |
Authorized Official Name and Position | Misty Molina (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 8174473001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Above Matter Llc Po Box 1058 Burleson TX 76097-1058 Ph: (817) 447-3001 | Mind Above Matter Llc 5900 Hereford Dr Fort Worth TX 76179-3395 Ph: (817) 447-3001 |
NPI Number | 1144833625 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 08/25/2020 |
Certification Date | 08/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144833625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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