Organization
MINDSET BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL AMPONASH NURSE PRACTIONER (PMHNP-BC)
(732) 648-4282
Entity
Organization
Contact information
Practice address
445 MARSHALL ST STE 149, PHILLIPSBURG, NJ 08865-2695
(732) 648-4282
Mailing address
445 MARSHALL ST STE 149, PHILLIPSBURG, NJ 08865-2695
(732) 648-4282
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
01/11/2024
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