Organization
MIND ABOVE MATTER LLC
Active
Parent organization
MIND ABOVE MATTER LLC
Other names
iMatter OD Wyatt
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
2400 E SEMINARY DR, FORT WORTH, TX 76119-5502
(817) 447-3001
(817) 289-5699
Mailing address
PO BOX 1058, BURLESON, TX 76097-1058
(817) 447-3001
(817) 289-5623
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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