Healthcare Provider Details

I. General information

NPI: 1831047836
Provider Name (Legal Business Name): EDEN MINDSHIFT STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 OLD FORGE LN
EWING NJ
08618-1016
US

IV. Provider business mailing address

6 OLD FORGE LN
EWING NJ
08618-1016
US

V. Phone/Fax

Practice location:
  • Phone: 609-684-8937
  • Fax: 609-809-1845
Mailing address:
  • Phone: 609-684-8937
  • Fax: 609-809-1845

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: EDEN RICHMAN
Title or Position: OWNER
Credential: LCSW
Phone: 609-684-8937