MIND ABOVE MATTER LLC (NPI# 1629565189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629565189 |
Entity Type | Organization |
Organization Name | MIND ABOVE MATTER LLC |
Other Organization Name | IMATTER OD WYATT |
Practice Address |
2400 E Seminary Dr Fort Worth TX 76119-5502 |
Mailing Address |
Po Box 1058 Burleson TX 76097-1058 |
Practice Telephone | 8174473001 |
Practice Fax Number | 8172895699 |
Mailing Telephone | 8174473001 |
Mailing Fax Number | 8172895623 |
Enumeration Date | 2018-04-19 |
Last Update Date | 2018-04-19 |
Authorized Official Name | MISTY MOLINA (BUSINESS OFFICE DIRECTOR) |
Authorized Official Telephone | 8174473001 |
Is Organization Subpart | Y |
Parent Organization Name | MIND ABOVE MATTER LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
iMatter OD Wyatt | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833625 | Mind Above Matter LLC | Clinic/Center | 5900 Hereford Dr, Fort Worth, TX 76179-3395 | 2020-08-25 |
1437760576 | Mind Above Matter LLC | Counselor | 990 Bailey Ranch Rd, Aledo, TX 76008-3209 | 2020-08-12 |
1891348546 | Mind Above Matter LLC | Clinic/Center | 1101 Nashville Ave, Fort Worth, TX 76105-1530 | 2019-07-22 |
1962062265 | Mind Above Matter LLC | Clinic/Center | 3050 Timberline Dr, Grapevine, TX 76051-3874 | 2019-06-18 |
1033681481 | Mind Above Matter LLC | Counselor | 1100 Raider Dr, Euless, TX 76040-6252 | 2018-12-26 |
1740788512 | Mind Above Matter LLC | Clinic/Center | 3816 Stadium Dr, Fort Worth, TX 76109-3712 | 2018-01-26 |
1801314489 | Mind Above Matter LLC | Clinic/Center | 8900 Chapin Rd, Fort Worth, TX 76116-6606 | 2017-09-05 |
1417587346 | Mind Above Matter LLC | Clinic/Center | 6010 Walker St, Haltom City, TX 76117-4216 | 2020-01-20 |
1326585803 | Mind Above Matter LLC | Social Worker | 1215 W Randol Mill Rd, Arlington, TX 76012-3113 | 2017-01-23 |
1790239648 | Mind Above Matter LLC | Clinic/Center | 250 College Ave, Keller, TX 76248-3449 | 2016-08-09 |
Street Address |
2400 E SEMINARY DR |
City | FORT WORTH |
State | TX |
Zip Code | 76119-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689211229 | Nicholas Sterling | Specialist/Technologist | 2400 E Seminary Dr, Fort Worth, TX 76119-5502 | 2019-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
Find all providers in zip 76119 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
1952683591 | Empirica Psychiatric Services LLC | Clinic/Center | 1424 Summit Ave., Fort Worth, TX 76102 | 2011-09-09 |
1225656747 | I Catrena Boswell, Pllc | Clinic/Center | 4200 S Hulen St Ste 682, Fort Worth, TX 76109-7905 | 2020-07-10 |
1487215737 | Clearfork Academy | Clinic/Center | 4255 Bryant Irvin Rd, Fort Worth, TX 76109-4233 | 2019-06-27 |
1619404506 | Irons Health Counseling Services In | Clinic/Center | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2017-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911776 | Wellness Work Counseling Service Pllc | Clinic/Center | 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039 | 2020-10-30 |
1942807250 | Chart Counseling Services Pllc | Clinic/Center | 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 | 2020-10-08 |
1114548831 | Integral Counseling and Wellness, LLC | Clinic/Center | 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 | 2020-05-05 |
1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
1073175576 | Remuda Ranch Counseling Services | Clinic/Center | 10333 Remuda View Dr, San Antonio, TX 78254-1759 | 2019-07-03 |
1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
1053878355 | Mainstay Youth Services LLC | Clinic/Center | 7919 West Rd, Houston, TX 77064-8042 | 2019-02-23 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76119 |
Please comment or provide details below to improve the information on MIND ABOVE MATTER LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.