Clear Thoughts Healthcare Llc | |
2386 Morris Avenue Manhattan Lighting Building Suite 107-109 Union NJ 07083-0884 | |
(908) 557-9015 | |
Not Available |
Full Name | Clear Thoughts Healthcare Llc |
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Speciality | Clinic/Center |
Location | 2386 Morris Avenue Manhattan Lighting Building, Union, New Jersey |
Authorized Official Name and Position | Ifeoluwa Akindunbi (APN) |
Authorized Official Contact | 9084637625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clear Thoughts Healthcare Llc 14 Marlborough Ave Middlesex NJ 08846-2020 Ph: (908) 463-7625 | Clear Thoughts Healthcare Llc 2386 Morris Avenue Manhattan Lighting Building Suite 107-109 Union NJ 07083-0884 Ph: (908) 557-9015 |
NPI Number | 1407478498 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 05/12/2020 |
Certification Date | 05/12/2020 |
Medicare PECOS PAC ID | 5799157608 |
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Medicare Enrollment ID | O20230202000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407478498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Ifeoluwa Akindunbi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336780568 PECOS PAC ID: 8820425754 Enrollment ID: I20200305000472 |
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