# GEARUP FOR MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114769148
- **Authorized official:** JAMAIKA HUGHES (CEO/FOUNDER)
- **Authorized official phone:** (817) 941-1255

## Contact information

- **Practice address:** 2616 TAR HEEL DR, FORT WORTH, TX 76123-1648
- **Practice address phone:** (817) 385-7755
- **Mailing address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
- **Mailing address phone:** (817) 385-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | — |
| 103TE1100X | Exercise & Sports Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024