Peaceful Minds Therapy Center LLC
Clinic/Center, Adolescent and Children Mental Health in Maplewood, NJ. Organization (NPI-2).
NPI number1558106989
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1558106989
- Entity type
- Organization (NPI-2)
- Legal business name
- Peaceful Minds Therapy Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Peaceful Minds Therapy Center LLC (Former Legal Business Name)
- Peaceful Minds Therapy Center LLC (Doing Business As)
Practice location
16 Berkeley StMaplewood, NJ 07040-3317
Phone 908-590-5810
Mailing address
16 Berkeley StMaplewood, NJ 07040-3317
Phone 908-590-5810
Authorized official
Fatimata Ly-Fall
Durec
9085905810
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