Organization · NPI-2
Healthy Habits Peaceful Mind Therapy, LLC
Point of Service · Livingston, NJ
NPI number1639960164
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1639960164
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthy Habits Peaceful Mind Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2025
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
230 E Northfield RdLivingston, NJ 07039-4801
Phone 973-820-5174
Mailing address
7976 Meadow Rush LoopSarasota, FL 34238-4318
Phone 973-820-5174
Authorized official
Debra Gill
Owner/Therapist
9738205174
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