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Organization
MINDSPACE MENTAL HEALTH
Active
Organization
MINDSPACE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE OSORIA LCSW, LCADC, LCSW-C (OWNER)
(844) 222-1323
Entity
Organization
Contact information
Practice address
900 EASTON AVE, STE 26 #226, SOMERSET, NJ 08873
(844) 222-1323
Mailing address
280 CLARK ST APT 1C, HACKENSACK, NJ 07601-1063
(844) 222-1323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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