Organization
MENTALITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL NICODEMUS LPC (OWNER)
(214) 702-1840
Entity
Organization
Contact information
Practice address
163 TOWN PL # 26, FAIRVIEW, TX 75069-1821
(214) 702-1840
Mailing address
163 TOWN PL # 26, FAIRVIEW, TX 75069-1821
(214) 702-1840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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