Provider Demographics
NPI:1417468182
Name:STRENGTH OF MIND LLC
Entity Type:Organization
Organization Name:STRENGTH OF MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-256-0859
Mailing Address - Street 1:17 HILLSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2118
Mailing Address - Country:US
Mailing Address - Phone:646-256-0859
Mailing Address - Fax:
Practice Address - Street 1:17 HILLSIDE WAY
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2118
Practice Address - Country:US
Practice Address - Phone:646-256-0859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty