Organization
MINDLIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE SMITH DNP, APN, PMHNP-BC (OWNER)
(908) 339-8696
Entity
Organization
Contact information
Practice address
114 S 2ND ST, PHILLIPSBURG, NJ 08865-1806
(610) 704-6238
Mailing address
114 S 2ND ST, PHILLIPSBURG, NJ 08865-1806
(908) 339-8696
(908) 747-1228
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
08/30/2020
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