Organization
CHANGE YOUR MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAYE ELLEN SCHOLZ MSW, LCSW, LCADC (OWNER)
(732) 775-1381
Entity
Organization
Contact information
Practice address
210 W FRONT ST STE 208, RED BANK, NJ 07701-1171
(732) 996-4829
Mailing address
113 CENTRAL AVE, OCEAN GROVE, NJ 07756-1101
(732) 775-1381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05231700
NJ
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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