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NPI Code Detail

MEDICARE: MINDSETMATTERS LLC

MEDICARE: MINDSETMATTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1346911757
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDSETMATTERS LLC
Provider Business Mailing Address
First Line : 3121 D#178 FIRE ROAD
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234
Country : US
Telephone Number : 609-816-0731
Fax Number :
Provider Business Practice Location Address
First Line : 300 GLENN AVE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-6206
Country : US
Telephone Number : 877-345-6275
Fax Number : 609-641-4560
Authorized Official
Title or Position : OWNER
Name : MICHELLE RENEE BROWN
Credential : BA PSYCHOLOGY
Telephone Number : 609-816-9282
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “MINDSETMATTERS LLC ” Practice Location

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