Mind & Body Healing Therapy Center, Llc | |
18-20 Lackawanna Plz Ste 200 Montclair NJ 07042-3642 | |
(973) 988-1496 | |
Not Available |
Full Name | Mind & Body Healing Therapy Center, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 18-20 Lackawanna Plz Ste 200, Montclair, New Jersey |
Authorized Official Name and Position | Stephanie Mora (CLINICIAN) |
Authorized Official Contact | 8622003083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind & Body Healing Therapy Center, Llc 18-20 Lackawanna Plz Ste 200 Montclair NJ 07042-3642 Ph: (973) 988-1496 | Mind & Body Healing Therapy Center, Llc 18-20 Lackawanna Plz Ste 200 Montclair NJ 07042-3642 Ph: (973) 988-1496 |
NPI Number | 1013633593 |
---|---|
Provider Enumeration Date | 10/17/2022 |
Last Update Date | 02/21/2024 |
Certification Date | 02/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013633593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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