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Organization
MIND BODY MENTAL HEALTH COUNSELING SERVICES PLLC
Active
Organization
MIND BODY MENTAL HEALTH COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM M KIWAK LMHC (OWNER)
(917) 474-5034
Entity
Organization
Contact information
Practice address
1416 48TH ST, BROOKLYN, NY 11219-3243
(917) 474-5034
Mailing address
9 KNIGHT DR, JACKSON, NJ 08527-5180
(917) 474-5034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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