Provider Demographics
NPI:1225719842
Name:MIND MATTERS BEHAVIORAL AND WELLNESS SERVICES PLLC
Entity Type:Organization
Organization Name:MIND MATTERS BEHAVIORAL AND WELLNESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH DES BORDES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-771-3470
Mailing Address - Street 1:2611 YELLOW PEAR WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-1440
Mailing Address - Country:US
Mailing Address - Phone:832-771-3470
Mailing Address - Fax:
Practice Address - Street 1:2611 YELLOW PEAR WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-1440
Practice Address - Country:US
Practice Address - Phone:832-771-3470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty