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General NPI Number Information
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NPI Number | 1114575909
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Entity Type | Organization
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Legal Business Name | MIND MATTERS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 102 MAIN ST STE 1
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City | HIGHTSTOWN
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State | NJ
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Zip | 08520-4800
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Country | US
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Telephone | 732-616-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 192 TULIP LN
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City | FREEHOLD
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State | NJ
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Zip | 07728-4099
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Country | US
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Telephone | 732-616-1707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN LIVORSI
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Credential |
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Telephone | 732-616-1707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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