| Mindfully Mine Counseling Center | |
|
179 S Maple Ave Ridgewood NJ 07450-4541 | |
| (201) 266-3087 | |
| (201) 462-3916 |
| Full Name | Mindfully Mine Counseling Center |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 179 S Maple Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Andrea Gleim (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2012663087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Mine Counseling Center 179 S Maple Ave Ridgewood NJ 07450-4541 Ph: (201) 266-3087 | Mindfully Mine Counseling Center 179 S Maple Ave Ridgewood NJ 07450-4541 Ph: (201) 266-3087 |
| NPI Number | 1780143693 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780143693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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