| Mindful Therapy Of Monmouth County Llc | |
|
30 Freneau Ave Bldg A Matawan NJ 07747-3390 | |
| (732) 705-1561 | |
| (732) 791-9057 |
| Full Name | Mindful Therapy Of Monmouth County Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 Freneau Ave Bldg A, Matawan, New Jersey |
| Authorized Official Name and Position | Nicole Rachel Wegweiser (OWNER) |
| Authorized Official Contact | 7327051561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy Of Monmouth County Llc 30 Freneau Ave Bldg A Matawan NJ 07747-3390 Ph: (732) 705-1561 | Mindful Therapy Of Monmouth County Llc 30 Freneau Ave Bldg A Matawan NJ 07747-3390 Ph: (732) 705-1561 |
| NPI Number | 1881276442 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881276442 | NPI | - | NPPES |
| 1215185004 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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