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Organization
EMBODIED HEART MIND LLC
Active
Organization
EMBODIED HEART MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA EDMOND (OWNER/APN)
(973) 358-5558
Entity
Organization
Contact information
Practice address
1901 N OLDEN AVENUE EXT, EWING, NJ 08618-2111
(973) 358-5558
Mailing address
PO BOX 7158, NORTH BRUNSWICK, NJ 08902-7158
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/22/2019
Last updated
09/01/2026
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