NPI 1790542611

Myndfit Mental Health, LLC

Organisation Exclusive Provider Organization San Antonio, TX

Practice location

Address: 13423 Coram Peak St, San Antonio, TX 78248-1201
Phone: (210) 665-3330

Authorised official

Name: Carlton Thomas Fairley
Title: Owner/Chief Executive Officer
Phone: (210) 665-3330

Registered specialties (7)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

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Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

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Registry record

NPI: 1790542611
Entity type: Organization
NPI issued: 6 Mar 2024
Record last updated: 20 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.