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Organization
MENDFUL MINDS WELLNESS CENTER, LLC
Active
Organization
MENDFUL MINDS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE COURDUFF CRNP (PMHNP)
(267) 474-9003
Entity
Organization
Contact information
Practice address
2737 N 5TH ST FL 1, PHILADELPHIA, PA 19133-2702
(267) 831-2157
Mailing address
2 SCENIC VIEW DR, SICKLERVILLE, NJ 08081-3012
(856) 526-9652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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