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Organization

MIND AND BODY WELLNESS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDGARD FRANCISCO DANIELSEN LP (CEO)
(347) 453-1601
Entity
Organization

Contact information

Practice address
302 5TH AVE STE 804, NEW YORK, NY 10001-3604
(347) 453-1601
Mailing address
1355 GENOVESE LN, RAHWAY, NJ 07065-7002
(347) 453-1601

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102L00000X
Psychoanalyst
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
02/22/2020
Last updated
05/16/2024
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