Organization
MIND POWER & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAL K SHAH MD (OWNER)
(773) 957-5435
Entity
Organization
Contact information
Practice address
318 MAIN ST STE 101A, MILLBURN, NJ 07041-1181
(973) 888-9172
Mailing address
100 STONE HILL RD APT M7, SPRINGFIELD, NJ 07081-2129
(773) 957-5435
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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