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General NPI Number Information
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NPI Number | 1992596670
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND THERAPY LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1 MAIN ST STE 304
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City | EATONTOWN
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State | NJ
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Zip | 07724-3905
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Country | US
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Telephone | 917-446-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 43 NORDEN ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2917
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Country | US
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Telephone | 917-446-4666
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELENA SLOTEN
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Credential |
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Telephone | 917-446-4666
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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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Taxonomy #2
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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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