| Mindfully Alive, Llc | |
|
18 Sycamore Ave Ho Ho Kus NJ 07423-1582 | |
| (201) 208-3987 | |
| Not Available |
| Full Name | Mindfully Alive, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18 Sycamore Ave, Ho Ho Kus, New Jersey |
| Authorized Official Name and Position | Andrea R. Nyerges (LPC/FOUNDER) |
| Authorized Official Contact | 2013083987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Alive, Llc 18 Sycamore Ave Ho Ho Kus NJ 07423-1582 Ph: (201) 308-3097 | Mindfully Alive, Llc 18 Sycamore Ave Ho Ho Kus NJ 07423-1582 Ph: (201) 208-3987 |
| NPI Number | 1376162487 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376162487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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