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Organization

MIND ABOVE

Active
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Organization

MIND ABOVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY ANDREW FUSCO (OWNER & PSYVHOTHERAPIST)
(469) 496-5695
Entity
Organization

Contact information

Practice address
4849 GREENVILLE AVE STE 100-101, DALLAS, TX 75206-4130
(469) 496-5695
(469) 242-9730
Mailing address
4849 GREENVILLE AVE STE 100-101, DALLAS, TX 75206-4130
(469) 496-5695
(469) 242-9730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
08/08/2019
Last updated
04/23/2025
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