OrganizationActive
Mind Above Matter LLC
NPI 1629565189 · Adolescent and Children Mental Health Clinic/Center · Fort Worth, TX
Provider details
- NPI number
- 1629565189
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mind Above Matter LLC
- Organization subpart
- Yes
- Authorized official
- Misty Molina, Business Office Director(817) 447-3001
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2400 E Seminary Dr
Fort Worth, TX 76119-5502
Phone: (817) 447-3001
Fax: (817) 289-5699
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1058
Burleson, TX 76097-1058
Other names (DBA / former)
- Other name
- Imatter OD Wyatt
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.