| Mindlight Llc | |
|
114 S 2nd St Phillipsburg NJ 08865-1806 | |
| (610) 704-6238 | |
| Not Available |
| Full Name | Mindlight Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 114 S 2nd St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Adrienne Smith (OWNER) |
| Authorized Official Contact | 9083398696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindlight Llc 114 S 2nd St Phillipsburg NJ 08865-1806 Ph: (908) 339-8696 | Mindlight Llc 114 S 2nd St Phillipsburg NJ 08865-1806 Ph: (610) 704-6238 |
| NPI Number | 1659998870 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 08/30/2020 |
| Certification Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659998870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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