Provider Demographics
NPI:1750183893
Name:EMAYZING MINDS LLC
Entity type:Organization
Organization Name:EMAYZING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-576-2142
Mailing Address - Street 1:225B S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1233
Mailing Address - Country:US
Mailing Address - Phone:609-576-2142
Mailing Address - Fax:
Practice Address - Street 1:225B S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1233
Practice Address - Country:US
Practice Address - Phone:609-576-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health