# KING'S MINDFULNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063114783
- **Authorized official:** MS. LATISHA L. MARSHALL APN (OWNER)
- **Authorized official phone:** (732) 278-5459

## Contact information

- **Practice address:** 525 LACEY RD STE E2, FORKED RIVER, NJ 08731-1543
- **Practice address phone:** (732) 278-5459
- **Mailing address:** 1358 HOOPER AVE UNIT 394, TOMS RIVER, NJ 08753-2882
- **Mailing address phone:** (732) 278-5459
- **Mailing address fax:** (732) 279-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/17/2023