Organization
MIND ABOVE MATTER LLC
Active
Parent organization
MIND ABOVE MATTER LLC
Other names
MAM KISD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIND ABOVE MATTER LLC
Authorized official
JEFF ISAAC (CONTROLLER)
(732) 927-7080
Entity
Organization
Contact information
Practice address
250 COLLEGE AVE, KELLER, TX 76248-3449
(817) 447-3001
Mailing address
PO BOX 446, LAKEWOOD, NJ 08701-0446
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
08/09/2016
Last updated
11/03/2023
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