Provider Demographics
NPI:1013606235
Name:HEART MIND BODY
Entity Type:Organization
Organization Name:HEART MIND BODY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEFFKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-600-5487
Mailing Address - Street 1:16 MAIN ST APT D5
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1958
Mailing Address - Country:US
Mailing Address - Phone:973-362-5652
Mailing Address - Fax:
Practice Address - Street 1:14 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860
Practice Address - Country:US
Practice Address - Phone:973-600-5487
Practice Address - Fax:973-957-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty