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General NPI Number Information
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NPI Number | 1720911647
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Entity Type | Organization
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Legal Business Name | MINDFULLY HEALING MENTAL AND BEHAVIORAL WELLNESS SERVICES
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 16 DOGWOOD DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-9710
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Country | US
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Telephone | 609-668-4719
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Fax | 609-668-4719
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Provider Business Mailing Address
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Address Line | 16 DOGWOOD DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-9710
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Country | US
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Telephone | 609-668-4719
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Fax | 609-668-4719
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Authorized Official
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Title or Position | EXECUTIVE MANAGER
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Name | DR. BERTEE THOMAS JR.
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Credential | PSYD
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Telephone | 609-668-4719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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