| Sound Mind Recovery Center Llc | |
|
155 Willow Blvd, Suite 110 #3622 Wayne NJ 07470 | |
| (201) 677-8474 | |
| Not Available |
| Full Name | Sound Mind Recovery Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 155 Willow Blvd, Suite 110 #3622, Wayne, New Jersey |
| Authorized Official Name and Position | Lashelle White Corley (OWNER/PRIMARY THERAPIST) |
| Authorized Official Contact | 2016778474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Recovery Center Llc 155 Willowbrook Blvd, Suite 110 #3622 Wayne NJ 07470 Ph: (201) 677-8474 | Sound Mind Recovery Center Llc 155 Willow Blvd, Suite 110 #3622 Wayne NJ 07470 Ph: (201) 677-8474 |
| NPI Number | 1124727466 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124727466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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