| Organization Name: | MIND, BODY, AND SPIRIT THROUGH THERAPY, LCC |
| NPI Number: | 1083900153 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE L HALUSHKA (LICENSED PSYCHOTHERAPIST) |
| Mailing Address: | 402 Birchfield Dr Mount Laurel |
| State: | NJ US |
| Postal Code: | 080544007 |
| Phone Number: | 2154993136 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2011 |
| NPI Last Update Date: | 06/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00395500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |