| Dynamic Minds Therapy Llc | |
|
169 Manhattan Ave Jersey City NJ 07307-3841 | |
| (201) 839-7487 | |
| Not Available |
| Full Name | Dynamic Minds Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 169 Manhattan Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Matthew Rosado (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2018397487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Minds Therapy Llc 169 Manhattan Ave Apt 46 Jersey City NJ 07307-3885 Ph: (201) 839-7487 | Dynamic Minds Therapy Llc 169 Manhattan Ave Jersey City NJ 07307-3841 Ph: (201) 839-7487 |
| NPI Number | 1568188704 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568188704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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