| Mindful Change Counseling Llc | |
|
219 High St Moorestown NJ 08057-3505 | |
| (609) 320-1332 | |
| Not Available |
| Full Name | Mindful Change Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 219 High St, Moorestown, New Jersey |
| Authorized Official Name and Position | Maura Rafferty (OWNER) |
| Authorized Official Contact | 6093201332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Change Counseling Llc 219 High St Moorestown NJ 08057-3505 Ph: (609) 320-1332 | Mindful Change Counseling Llc 219 High St Moorestown NJ 08057-3505 Ph: (609) 320-1332 |
| NPI Number | 1053116236 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 1456874718 |
|---|---|
| Medicare Enrollment ID | O20250327000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053116236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maura Rafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013675651 PECOS PAC ID: 3870979677 Enrollment ID: I20221003000344 |
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