MAM KISD
NPI 1790239648
Clinic/Center - Mental Health (Including Community Mental Health Center) in Keller, TX
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About MAM KISD
This page provides the complete NPI Profile along with additional information for Mam Kisd, a provider established in Keller, Texas operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1790239648 assigned on August 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Mam Kisd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Mam Kisd. The authorized official of this NPI record is Jeff Isaac (Controller)
- NPI
- 1790239648 Verify this NPI
- Provider Legal Name
- MIND ABOVE MATTER LLC
- Other Organization Name
- MAM KISD
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 250 COLLEGE AVE KELLER, TX 76248
- Location Phone
- (817) 447-3001
- Mailing Address
- PO BOX 446 LAKEWOOD, NJ 08701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-09-2016
- Last Update Date
- 11-03-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 251B00000X | Agencies | Case Management |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790239648, enumerated as an "organization" on August 09, 2016.
The provider is located at 250 COLLEGE AVE KELLER, TX 76248 and the phone number is (817) 447-3001.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
