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Organization
MIND ABOVE MATTER LLC
Active
Organization
MIND ABOVE MATTER LLC
Active
Parent organization
MIND ABOVE MATTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIND ABOVE MATTER LLC
Authorized official
MISTY MOLINA (BUSINESS OFFICE DIRECTOR)
(817) 447-3001
Entity
Organization
Contact information
Practice address
1101 NASHVILLE AVE, FORT WORTH, TX 76105-1530
(817) 447-3001
Mailing address
PO BOX 1058, BURLESON, TX 76097-1058
(817) 447-3001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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