NPI Code Details Logo

NPI 1285563478

NPI 1285563478 : HEALING MINDS TRIO LLC : NEWARK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285563478
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALING MINDS TRIO LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/14/2026
-----------------------------------------------------
    Last Update Date     |    05/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    21 BRUNSWICK ST 
-----------------------------------------------------
    City                 |    NEWARK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07114-2009
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-540-6836
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    21 BRUNSWICK ST 
-----------------------------------------------------
    City                 |    NEWARK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07114-2009
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-540-6836
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CO-OWNER
-----------------------------------------------------
    Name                 |     YULISA  AQUINO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    732-540-6836
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.