Organization
MIND ABOVE MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KINCAID LCSW (CEO)
(817) 447-3001
Entity
Organization
Contact information
Practice address
8900 CHAPIN RD, FORT WORTH, TX 76116-6606
(817) 447-3001
Mailing address
PO BOX 1058, BURLESON, TX 76097-1058
(817) 447-3001
(817) 289-5623
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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