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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