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General NPI Number Information
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NPI Number | 1356200703
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Entity Type | Organization
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Legal Business Name | HEALTHY MINDS CENTER FOR ANXIETY, MOOD, AND ADHD LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 18-20 LACKAWANNA PLZ
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3642
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Country | US
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Telephone | 551-238-4307
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3069
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City | MONTCLAIR
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State | NJ
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Zip | 07043-3069
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Country | US
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Telephone | 551-238-4307
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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. NANDA MUTHUSAWMY
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Credential | MD
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Telephone | 551-238-4307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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