Mindfully Alive, LLC
NPI #1376162487 in Ho Ho Kus, New Jersey
Provider Information
- NPI Number
- 1376162487
- Entity Type
- Organization
- Organization Name
- Mindfully Alive, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 9, 2020
- Last Updated
- Apr 9, 2020
Practice Location
- Address
- 18 SYCAMORE AVE
- City
- Ho Ho Kus
- State
- New Jersey
- ZIP Code
- 07423-1582
- Phone
- (201) 208-3987
Authorized Official
- Name
- ANDREA R. NYERGES, LPC
- Title
- LPC/FOUNDER
- Phone
- (201) 308-3987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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