Provider Demographics
NPI:1770361248
Name:MINDS IN MOTION GLOBAL LLC
Entity type:Organization
Organization Name:MINDS IN MOTION GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:LRC
Authorized Official - Phone:917-613-9121
Mailing Address - Street 1:34 CAROLIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-2224
Mailing Address - Country:US
Mailing Address - Phone:917-613-9121
Mailing Address - Fax:
Practice Address - Street 1:34 CAROLIN RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-2224
Practice Address - Country:US
Practice Address - Phone:917-613-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty