| Mind Matters & Solutions Llc | |
|
54 Brookfield Ave Nutley NJ 07110-1804 | |
| (973) 216-7022 | |
| Not Available |
| Full Name | Mind Matters & Solutions Llc |
|---|---|
| Speciality | Counselor |
| Location | 54 Brookfield Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Taji S Karim-reisch (OWNER) |
| Authorized Official Contact | 9732167022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters & Solutions Llc 54 Brookfield Ave Nutley NJ 07110-1804 Ph: (973) 216-7022 | Mind Matters & Solutions Llc 54 Brookfield Ave Nutley NJ 07110-1804 Ph: (973) 216-7022 |
| NPI Number | 1255084638 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 5799171328 |
|---|---|
| Medicare Enrollment ID | O20220408000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255084638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Taji S Karim Reisch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871196832 PECOS PAC ID: 7315358991 Enrollment ID: I20201203000925 |
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