Organization
CHANGE YOUR MIND, LLC
Active
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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