MIND ABOVE MATTER, LLC – NPI #1124795885
Clinic/Center

MIND ABOVE MATTER, LLC is an AHC clinic located in FORT WORTH, TX. NPPES has assigned the NPI number 1124795885 to MIND ABOVE MATTER, LLC on August 30, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Nov 03, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIND ABOVE MATTER, LLC below.

NPI Profile for
MIND ABOVE MATTER, LLC

NPI Number
1124795885
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIND ABOVE MATTER, LLC
Primary location
5500 NORRIS STREET
FORT WORTH, TX 76119
Phone: (817) 447-3001 Fax:
Mailing address
PO BOX 446
LAKEWOOD, NJ 08701-0446
Phone: (732) 927-7080 Fax:
Organization Subpart
No
Authorized Official
JEFF ISAAC
CONTROLLER
Phone: (732) 927-7080
Updated
Certification Date
Nov 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.