Organization
HEALING MINDS CLINICAL SERVICES LLC
Active
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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