Provider Demographics
NPI:1437806916
Name:SANA MIND SOUL
Entity Type:Organization
Organization Name:SANA MIND SOUL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDUJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:917-294-4092
Mailing Address - Street 1:150 BAY ST APT 826
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-5918
Mailing Address - Country:US
Mailing Address - Phone:917-294-4092
Mailing Address - Fax:
Practice Address - Street 1:150 BAY ST APT 826
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5918
Practice Address - Country:US
Practice Address - Phone:917-294-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty