Mindful Intentions | |
1341 Hamburg Tpke Ste 1-5 Wayne NJ 07470-4042 | |
(973) 250-8265 | |
Not Available |
Full Name | Mindful Intentions |
---|---|
Speciality | Social Worker - Clinical |
Location | 1341 Hamburg Tpke Ste 1-5, Wayne, New Jersey |
Authorized Official Name and Position | Michelle Pichardo (CLINICAL EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9732899208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Intentions 432 Boulevard Pompton Plains NJ 07444-1032 Ph: () - | Mindful Intentions 1341 Hamburg Tpke Ste 1-5 Wayne NJ 07470-4042 Ph: (973) 250-8265 |
NPI Number | 1528754934 |
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Provider Enumeration Date | 04/18/2023 |
Last Update Date | 04/18/2023 |
Certification Date | 04/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528754934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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