Organization
GROWING MINDSET THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RAFANELLO MSW, LCSW (THERAPIST/OWNER)
(201) 400-4041
Entity
Organization
Contact information
Practice address
10 SUNSET CT, BRICK, NJ 08723-5488
(201) 400-4041
Mailing address
10 SUNSET CT, BRICK, NJ 08723-5488
(201) 400-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
UNKNOWN
—
Enumeration date
06/29/2021
Last updated
06/29/2021
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