| Mind Above Matter Llc | |
|
1101 Nashville Ave Fort Worth TX 76105-1530 | |
| (817) 447-3001 | |
| Not Available |
| Full Name | Mind Above Matter Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1101 Nashville Ave, 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 |
|---|---|
| Mind Above Matter Llc Po Box 1058 Burleson TX 76097-1058 Ph: (817) 447-3001 | Mind Above Matter Llc 1101 Nashville Ave Fort Worth TX 76105-1530 Ph: (817) 447-3001 |
| NPI Number | 1891348546 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891348546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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