Provider Demographics
NPI:1790367720
Name:WITH US IN MIND INCORPORATED
Entity Type:Organization
Organization Name:WITH US IN MIND INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LIAKISA
Authorized Official - Middle Name:MONET
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-215-2361
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07051-0132
Mailing Address - Country:US
Mailing Address - Phone:862-215-2361
Mailing Address - Fax:
Practice Address - Street 1:161 HARPER AVE APT 3
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1742
Practice Address - Country:US
Practice Address - Phone:862-215-2361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management