Organization
BRIGHT MINDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AVILA LCSW (SOCIAL WORKER)
(201) 923-4449
Entity
Organization
Contact information
Practice address
101 TERRACE AVE APT 4J, HASBROUCK HEIGHTS, NJ 07604-2452
(201) 923-4449
Mailing address
101 TERRACE AVE APT 4J, HASBROUCK HEIGHTS, NJ 07604-2452
(201) 923-4449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/26/2023
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