Organization
THRIVING MINDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY FEARON JR. PSY D (OWNER)
(609) 510-1012
Entity
Organization
Contact information
Practice address
29 NORTHUMBERLAND DR, EASTAMPTON, NJ 08060-3298
(609) 510-1012
Mailing address
29 NORTHUMBERLAND DR, EASTAMPTON, NJ 08060-3298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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