Organization
FREE OF MIND PSYCHOTHERAPY LLC
Active
Other names
Free of Mind Psychotherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTA KERINA PAMPHILE PHD, LPC, LMHC, NCC (FOUNDER/OWNER)
(347) 208-3313
Entity
Organization
Contact information
Practice address
8 HILLSIDE AVE STE 207-1, MONTCLAIR, NJ 07042-2129
(347) 208-3313
Mailing address
30 FARRAND ST APT 423, BLOOMFIELD, NJ 07003-4437
(347) 208-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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