Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Mind Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366167082

State of Mind Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Worth, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4364 Western Center Blvd # 2221
Fort Worth, TX 76137-2043
Phone: (817) 393-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366167082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Kennedy — Pmhnp · (817) 393-2061
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address4364 Western Center Blvd # 2221, Fort Worth, TX 76137-2043

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