Organization
EMPOWERED MINDS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKERA RAINNER MA, LCSW (OWNER)
(856) 265-9533
Entity
Organization
Contact information
Practice address
288 EGG HARBOR RD STE 9, SEWELL, NJ 08080-3131
(856) 720-0106
Mailing address
27 HAMPTON GATE DR, SICKLERVILLE, NJ 08081-2507
(856) 265-9533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
01/26/2024
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