Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mind and Body Wellness Services LLC

Organization Mental Health Counselor · NPI 1902430556

Mind and Body Wellness Services LLC provides Mental Health Counselor services in New York, New York. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

302 5th Ave Ste 804
New York, NY 10001-3604
Phone: (347) 453-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1355 Genovese Ln, Rahway, NJ 07065-7002 — (347) 453-1601

Specialties & licences

Psychoanalyst (primary) Taxonomy 102L00000X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1902430556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgard Danielsen — Ceo · (347) 453-1601
NPI enumeratedFebruary 22, 2020
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address1355 Genovese Ln, Rahway, NJ 07065-7002

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