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Organization
FOSTER THE MIND
Active
Organization
FOSTER THE MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BREITLING (CLINCAL DIRECTOR)
(817) 770-0190
Entity
Organization
Contact information
Practice address
1630 PARK PLACE AVE, FORT WORTH, TX 76110-1377
(817) 770-0190
Mailing address
817 VALLEY RIDGE RD, BURLESON, TX 76028-4987
(817) 770-0190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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