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Organization
MIND ABOVE MATTER LLC
Active
Organization
MIND ABOVE MATTER LLC
Active
Other names
iMatter
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY HOLLINGSWORTH SOJOURNER (EXECUTIVE DIRECTOR)
(817) 447-3001
Entity
Organization
Contact information
Practice address
5500 NORRIS ST, FORT WORTH, TX 76119
(817) 447-3001
Mailing address
2915 S BURLESON BLVD, BURLESON, TX 76028-1878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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