| Organization Name: | MIND BODY HEALTH CENTER LLC |
| NPI Number: | 1063587731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELEONORA CIELO (DIRECTOR) |
| Mailing Address: | 1806 Springfield Ave New Providence |
| State: | NJ US |
| Postal Code: | 07974 |
| Phone Number: | 9084641400 |
| Fax Number: | 9084641344 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | PC721 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |