Modern Mind Therapeutic Services Llc

LBN: Modern Mind Therapeutic Services Llc
Modern Mind Therapeutic Services Llc is an health care organization with primary practice located at 49 Kulick St , Clifton NJ 07011-2375. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Modern Mind Therapeutic Services Llc can be contacted via phone (973) 930-9749, or through Ayala, Jessica via phone (973) 930-9749.

Contact Information

Primary practice address
49 Kulick St Clifton NJ 07011-2375
Phone: (973) 930-9749
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayala, Jessica Licensed Clinical Social Worker (LCSW)
Phone: (973) 930-9749

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1114502929
LBN Legal business name Modern Mind Therapeutic Services Llc
DBA Doing business as
Authorized official Ayala, Jessica Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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