Organization
MIRACLES OF THE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE TRAVIS (PRESIDENT/CEO)
(856) 904-3525
Entity
Organization
Contact information
Practice address
811 CHURCH RD, SUITE 137, CHERRY HILL, NJ 08002-1412
(856) 904-3525
Mailing address
811 CHURCH RD, SUITE 137, CHERRY HILL, NJ 08002-1412
(856) 904-3525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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