Mind Above Matter LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Waxahachie, TX. Organization (NPI-2).
NPI number1205511706
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1205511706
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Above Matter LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
1000 N Highway 77Waxahachie, TX 75165-1754
Phone 817-482-0414
Mailing address
475 Oberlin Ave S Ste 203Lakewood, NJ 08701-7024
Phone 817-482-0414
Authorized official
Jeff Isaac
Controller
7329277080
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