MIND ABOVE MATTER LLC NPI 1215680236

NPI Information

NPI: 1215680236
Provider Name: MIND ABOVE MATTER LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5500 NORRIS ST
FORT WORTH, TX
ZIP 76119
Phone: (817) 447-3001
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MIND ABOVE MATTER LLC is a mental health (including community mental health center) clinic center in Fort Worth, TX. MIND ABOVE MATTER LLC NPI is 1215680236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5500 NORRIS ST
FORT WORTH, TX
ZIP 76119
Phone: (817) 447-3001

The provider's authorized official is Hilary Hollingsworth Sojourner .
The authorized official title is Executive Director and has the following contact phone number (817) 447-3001.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	1041C0700X	Social Worker	Clinical	No
4	106H00000X	Marriage & Family Therapist		No
5	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	No
6	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
7	251S00000X	Community/Behavioral Health		No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QM1300X	Clinic/Center	Multi-Specialty	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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