MENDING WINGS TO SOAR NPI 1871001057

NPI Information

NPI: 1871001057
Provider Name: MENDING WINGS TO SOAR

Doing Business As: MENDING WINGS TO SOAR

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
460 BLOOMFIELD AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 937-8632
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MENDING WINGS TO SOAR is a mental health (including community mental health center) clinic center in Montclair, NJ. MENDING WINGS TO SOAR NPI is 1871001057. The provider is registered as an organization entity type.
The provider Is Doing Business As Mending Wings To Soar.

The provider's business location address is:

460 BLOOMFIELD AVE
MONTCLAIR, NJ
ZIP 07042-582
Phone: (973) 937-8632

The provider's authorized official is Moya Mathison .
The authorized official title is Owner/therapist and has the following contact phone number (973) 937-8632.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 1/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	37PC00559100	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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