| Heather Lonergan, | |
|
532 Bloy Street, Hillside, NJ 07205-1734 | |
| (908) 251-9498 | |
| Not Available |
| Full Name | Heather Lonergan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 532 Bloy Street, Hillside, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871863027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00642600 (New Jersey) | Secondary |
| 101YM0800X | Counselor - Mental Health | 37PC00642600 (New Jersey) | Primary |
| Entity Name | Clear Mind Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578456653 PECOS PAC ID: 1658882915 Enrollment ID: O20250615000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lonergan, 532 Bloy Street, Hillside, NJ 07205-1734 Ph: (908) 251-9498 | Heather Lonergan, 532 Bloy Street, Hillside, NJ 07205-1734 Ph: (908) 251-9498 |
Judith Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1564 Schley St, Hillside, NJ 07205 Phone: 973-885-2955 |
Maisha Lo-rain Walters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Bloy St Fl 2, Hillside, NJ 07205 Phone: 908-884-8128 |
Mrs. Joretta Strayhorn-walton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Williamson Ave, Hillside, NJ 07205 Phone: 929-244-0140 |
Ms. Towana Renee Moore, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Fairbanks St, Hillside, NJ 07205 Phone: 908-354-5506 Fax: 908-354-1027 |
Jessica Charise Webb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1069 Voorhees St, Hillside, NJ 07205 Phone: 862-754-5283 |
Mr. Levi Sighee Johnson, MA, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Mertz Ave, Hillside, NJ 07205 Phone: 201-471-1658 |
Michael Conte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1409 Liberty Ave, Hillside, NJ 07205 Phone: 973-671-5578 |