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General NPI Number Information
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NPI Number | 1255273389
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Entity Type | Organization
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Legal Business Name | MENTAL MATTERS BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 4143 TOBIN DR
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City | CROWLEY
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State | TX
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Zip | 76036-1451
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Country | US
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Telephone | 817-476-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 SYCAMORE SCHOOL RD STE 125
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City | FORT WORTH
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State | TX
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Zip | 76133-7827
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Country | US
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Telephone | 817-476-0361
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROCHELLE GEORGE
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Credential | NP
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Telephone | 817-476-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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