| 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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