Organization
COMFORT MINDS & ABOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHUNTAK JERIDEAU PMHNP (PRESIDENT)
(214) 418-6227
Entity
Organization
Contact information
Practice address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(214) 418-6227
Mailing address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(214) 418-6227
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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