| Mindset Psychotherapy Center | |
|
2040 Millburn Ave. Suite 205 Maplewood NJ 07040 | |
| (201) 207-7268 | |
| Not Available |
| Full Name | Mindset Psychotherapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2040 Millburn Ave. Suite 205, Maplewood, New Jersey |
| Authorized Official Name and Position | Sandra Ivey Prusiowski (DIRECTOR) |
| Authorized Official Contact | 2012077268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Psychotherapy Center 2040 Millburn Ave. Suite 205 Maplewood NJ 07040 Ph: (201) 207-7268 | Mindset Psychotherapy Center 2040 Millburn Ave. Suite 205 Maplewood NJ 07040 Ph: (201) 207-7268 |
| NPI Number | 1548717143 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548717143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SL05548300 (New Jersey) | Primary |
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