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Organization
MIND AND BODY WELLNESS SERVICES LLC
Active
Organization
MIND AND BODY WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARD FRANCISCO DANIELSEN LP (CEO)
(347) 453-1601
Entity
Organization
Contact information
Practice address
302 5TH AVE STE 804, NEW YORK, NY 10001-3604
(347) 453-1601
Mailing address
1355 GENOVESE LN, RAHWAY, NJ 07065-7002
(347) 453-1601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/22/2020
Last updated
05/16/2024
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