# PRIME MIND CARE PLLC

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

## Provider details

- **NPI number:** 1982541785
- **Authorized official:** AJITA GYAWALI KANDEL NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (818) 445-7116

## Contact information

- **Practice address:** 420 ACTON AVE, FORT WORTH, TX 76131-1778
- **Practice address phone:** (818) 445-7116
- **Practice address fax:** (682) 310-1401
- **Mailing address:** 420 ACTON AVE, FORT WORTH, TX 76131-1778
- **Mailing address phone:** (682) 249-2373
- **Mailing address fax:** (682) 310-1401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2026
- **Last updated:** 09/02/2026