| Embodied Heart Mind Llc | |
|
20 Scotch Rd Ewing NJ 08628-2529 | |
| (973) 358-5558 | |
| Not Available |
| Full Name | Embodied Heart Mind Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Scotch Rd, Ewing, New Jersey |
| Authorized Official Name and Position | Lissa Edmond (OWNER/APN) |
| Authorized Official Contact | 9733585558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Heart Mind Llc Po Box 2264 Bloomfield NJ 07003-9064 Ph: () - | Embodied Heart Mind Llc 20 Scotch Rd Ewing NJ 08628-2529 Ph: (973) 358-5558 |
| NPI Number | 1790324747 |
|---|---|
| Provider Enumeration Date | 12/22/2019 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790324747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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