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General NPI Number Information
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NPI Number | 1124977947
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Entity Type | Organization
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Legal Business Name | BRAVEMINDS MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 2074 STANLEY TER
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City | UNION
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State | NJ
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Zip | 07083-4366
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Country | US
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Telephone | 908-923-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 514 MILLBURN AVE
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2508
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Country | US
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Telephone | 908-923-0035
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Fax |
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Authorized Official
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Title or Position | NP
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Name | HARRIETH CHIDIEBERE NNADI
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Credential | PMHNP-BC
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Telephone | 201-790-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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