Organization
PEACEFUL MINDS THERAPY CENTER LLC
Active
Other names
Peaceful Minds Therapy Center LLC, Peaceful Minds Therapy Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMATA LY-FALL PH D. (DUREC)
(908) 590-5810
Entity
Organization
Contact information
Practice address
16 BERKELEY ST, MAPLEWOOD, NJ 07040-3317
(908) 590-5810
Mailing address
16 BERKELEY ST, MAPLEWOOD, NJ 07040-3317
(908) 590-5810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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