| Mind Elevation LLC | |
|
127 Irene St Linden NJ 07036-3525 | |
| (908) 267-2510 | |
| Not Available |
| Full Name | Mind Elevation LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 127 Irene St, Linden, New Jersey |
| Authorized Official Name and Position | Maria-elena Vasquez (OWNER) |
| Authorized Official Contact | 9082672510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Elevation LLC 127 Irene St Linden NJ 07036-3525 Ph: (908) 267-2510 | Mind Elevation LLC 127 Irene St Linden NJ 07036-3525 Ph: (908) 267-2510 |
| NPI Number | 1588490270 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588490270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 101YP2500X | Counselor - Professional | () | Secondary |
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