MEDICARE: AMAZING CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1215813365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING CARE

Provider Business Mailing Address
First Line	:	3845 S MAIN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-5418
Country	:	US
Telephone Number	:	682-250-2495
Fax Number	:

Provider Business Practice Location Address
First Line	:	3845 S MAIN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-5418
Country	:	US
Telephone Number	:	682-422-7223
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CRYSTAL MITCHELL
Credential	:
Telephone Number	:	682-422-7223

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/16/2025

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Directions to “AMAZING CARE ” Practice Location

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