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Organization
SOUND MIND RECOVERY CENTER LLC
Active
Organization
SOUND MIND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHELLE WHITE CORLEY (OWNER/PRIMARY THERAPIST)
(201) 677-8474
Entity
Organization
Contact information
Practice address
155 WILLOW BLVD, SUITE 110 #3622, WAYNE, NJ 07470
(201) 677-8474
Mailing address
155 WILLOWBROOK BLVD,, SUITE 110 #3622, WAYNE, NJ 07470
(201) 677-8474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
04/20/2023
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