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General NPI Number Information
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NPI Number | 1316377187
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Entity Type | Organization
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Legal Business Name | BRAIN HEALTH CENTER
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3100 ROUTE 138 BLDG 2
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9021
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Country | US
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Telephone | 848-404-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 ROUTE 138 BLDG 2
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9021
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Country | US
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Telephone | 848-404-9111
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Fax |
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Authorized Official
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Title or Position | AO
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Name | MRS. SHARON MOLESKI
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Credential | LPC., LCADC
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Telephone | 848-404-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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