Organization
MINDFUL EATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KINGLEY (VICE PRESIDENT)
(732) 283-1900
Entity
Organization
Contact information
Practice address
220 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3940
(732) 283-1900
(732) 791-9566
Mailing address
20 THISTLE LN, WARREN, NJ 07059-5564
(732) 283-1900
(732) 791-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
12/08/2014
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