# MENDFUL MINDS WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629852918
- **Authorized official:** CONSTANCE COURDUFF CRNP (PMHNP)
- **Authorized official phone:** (267) 474-9003

## Contact information

- **Practice address:** 2737 N 5TH ST FL 1, PHILADELPHIA, PA 19133-2702
- **Practice address phone:** (267) 831-2157
- **Mailing address:** 2 SCENIC VIEW DR, SICKLERVILLE, NJ 08081-3012
- **Mailing address phone:** (856) 526-9652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023