Organization
HEALING MINDS CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HAYES LCSW (LICENSED CLINICAL SOCIAL WORKER)
(848) 229-5971
Entity
Organization
Contact information
Practice address
57 BROAD ST APT 3E, MATAWAN, NJ 07747-2531
(848) 229-5971
Mailing address
57 BROAD ST APT 3E, MATAWAN, NJ 07747-2531
(848) 229-5971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05542700
NJ
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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