| Listening Mind Llc | |
|
2295 Edgewood Ter Scotch Plains NJ 07076-2105 | |
| (973) 671-5695 | |
| Not Available |
| Full Name | Listening Mind Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2295 Edgewood Ter, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Donna Lam (OWNER) |
| Authorized Official Contact | 9736715695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Listening Mind Llc 2295 Edgewood Ter Scotch Plains NJ 07076-2105 Ph: (973) 671-5695 | Listening Mind Llc 2295 Edgewood Ter Scotch Plains NJ 07076-2105 Ph: (973) 671-5695 |
| NPI Number | 1255082020 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 6305231358 |
|---|---|
| Medicare Enrollment ID | O20220310000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255082020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna Theresa Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285256586 PECOS PAC ID: 1254740541 Enrollment ID: I20210518001086 |
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