Healthcare Provider Details

I. General information

NPI: 1942148945
Provider Name (Legal Business Name): THE QUIETER MIND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 BEACON AVE
BRICK NJ
08723-5101
US

IV. Provider business mailing address

919 BEACON AVE
BRICK NJ
08723-5101
US

V. Phone/Fax

Practice location:
  • Phone: 732-278-0084
  • Fax:
Mailing address:
  • Phone: 732-278-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANIELLE COOKE
Title or Position: OWNER
Credential: LCSW
Phone: 732-278-0084