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General NPI Number Information
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NPI Number | 1336069004
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Entity Type | Organization
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Legal Business Name | MIND SPA & MORE, LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 520 SPEEDWELL AVE STE 109
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2132
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Country | US
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Telephone | 908-914-8156
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-0104
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Country | US
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Telephone | 973-670-4393
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAPHNE SHALITA
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Credential | PHD
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Telephone | 973-670-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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