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General NPI Number Information
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NPI Number | 1063227866
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Entity Type | Organization
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Legal Business Name | TRAVELING MINDS INC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 25 CONDICT ST
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City | JERSEY CITY
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State | NJ
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Zip | 07306-7009
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Country | US
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Telephone | 551-998-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CONDICT ST
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City | JERSEY CITY
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State | NJ
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Zip | 07306-7009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARLENE JOSEPH-YOUNGER
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Credential | LCSW
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Telephone | 551-998-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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