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Organization

MIND ABOVE MATTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY MOLINA (BUSINESS OFFICE DIRECTOR)
(817) 447-3001
Entity
Organization

Contact information

Practice address
6010 WALKER ST, HALTOM CITY, TX 76117-4216
(817) 447-3001
Mailing address
PO BOX 1058, BURLESON, TX 76097-1058
(817) 447-3001

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
251B00000X
Case Management Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/20/2020
Last updated
02/23/2024
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