| Mindful Counseling Center Llc | |
|
3069 English Creek Ave Suite 224 Egg Harbor Township NJ 08234-9708 | |
| (609) 780-3570 | |
| Not Available |
| Full Name | Mindful Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3069 English Creek Ave, Egg Harbor Township, New Jersey |
| Authorized Official Name and Position | Patrick R Connelly (OWNER) |
| Authorized Official Contact | 6097803570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Counseling Center Llc 3069 English Creek Ave Suite 224 Egg Harbor Township NJ 08234-9708 Ph: (609) 780-3570 | Mindful Counseling Center Llc 3069 English Creek Ave Suite 224 Egg Harbor Township NJ 08234-9708 Ph: (609) 780-3570 |
| NPI Number | 1164832192 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 01/26/2019 |
| Medicare PECOS PAC ID | 7719225077 |
|---|---|
| Medicare Enrollment ID | O20190212000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164832192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05182000 (New Jersey) | Primary |
| Provider Name | Barbara Jean Pinnock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972690881 PECOS PAC ID: 2466407143 Enrollment ID: I20050315000890 |
| Provider Name | Tina Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952458051 PECOS PAC ID: 0244301893 Enrollment ID: I20080625000463 |
| Provider Name | Michele I Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578680781 PECOS PAC ID: 9335193234 Enrollment ID: I20100527000356 |
| Provider Name | Marcel M Tabone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659432151 PECOS PAC ID: 0143281428 Enrollment ID: I20140124001126 |
| Provider Name | Leslie Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891067963 PECOS PAC ID: 9739518424 Enrollment ID: I20200331003564 |
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