| Free Of Mind Psychotherapy Llc | |
|
8 Hillside Ave Ste 207-1 Montclair NJ 07042-2129 | |
| (347) 208-3313 | |
| Not Available |
| Full Name | Free Of Mind Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8 Hillside Ave Ste 207-1, Montclair, New Jersey |
| Authorized Official Name and Position | Shanta Kerina Pamphile (FOUNDER/OWNER) |
| Authorized Official Contact | 3472083313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Of Mind Psychotherapy Llc 30 Farrand St Apt 423 Bloomfield NJ 07003-4437 Ph: (347) 208-3313 | Free Of Mind Psychotherapy Llc 8 Hillside Ave Ste 207-1 Montclair NJ 07042-2129 Ph: (347) 208-3313 |
| NPI Number | 1740003425 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740003425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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