Mentality Pllc | |
163 Town Pl # 26 Fairview TX 75069-1821 | |
(214) 702-1840 | |
Not Available |
Full Name | Mentality Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 163 Town Pl # 26, Fairview, Texas |
Authorized Official Name and Position | Krystal Nicodemus (OWNER) |
Authorized Official Contact | 2147021840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mentality Pllc 163 Town Pl # 26 Fairview TX 75069-1821 Ph: (214) 702-1840 | Mentality Pllc 163 Town Pl # 26 Fairview TX 75069-1821 Ph: (214) 702-1840 |
NPI Number | 1629963855 |
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Provider Enumeration Date | 06/10/2025 |
Last Update Date | 06/10/2025 |
Certification Date | 06/10/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629963855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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