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Organization

MIND MENDED

Active
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Organization

MIND MENDED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIANE VINOU-LEVY PMHNP (PSYCHIATRIC NURSE PRACTIONER)
(908) 265-0407
Entity
Organization

Contact information

Practice address
2204 MORRIS AVE STE 211, UNION, NJ 07083-5914
(908) 265-0407
Mailing address
2819 DEWITT TER, LINDEN, NJ 07036-4803
(732) 596-7364
(908) 223-8516

Taxonomy

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

Other

Enumeration date
08/18/2026
Last updated
08/18/2026
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