Organization
MINDFULLY ALIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA R. NYERGES LPC (LPC/FOUNDER)
(201) 308-3987
Entity
Organization
Contact information
Practice address
18 SYCAMORE AVE, HO HO KUS, NJ 07423-1582
(201) 208-3987
Mailing address
18 SYCAMORE AVE, HO HO KUS, NJ 07423-1582
(201) 308-3097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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