Mind Centered Wellness Llc | |
147 Union Ave 2d Middlesex NJ 08846-1063 | |
(908) 203-8122 | |
Not Available |
Full Name | Mind Centered Wellness Llc |
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Speciality | Social Worker |
Location | 147 Union Ave, Middlesex, New Jersey |
Authorized Official Name and Position | Marie Gonzalez (OWNER) |
Authorized Official Contact | 9082038122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind Centered Wellness Llc 147 Union Ave 2d Middlesex NJ 08846-1063 Ph: (908) 203-8122 | Mind Centered Wellness Llc 147 Union Ave 2d Middlesex NJ 08846-1063 Ph: (908) 203-8122 |
NPI Number | 1003103300 |
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Provider Enumeration Date | 07/07/2011 |
Last Update Date | 02/17/2012 |
Medicare PECOS PAC ID | 5496926685 |
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Medicare Enrollment ID | O20110920000359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003103300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05302800 (New Jersey) | Primary |
Provider Name | Marie T Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225113491 PECOS PAC ID: 5395916597 Enrollment ID: I20110920000391 |
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