Mending Wings To Soar
Clinic/Center, Mental Health (Including Community Mental Health Center) in Montclair, New Jersey
1871001057- Practice location
- 460 Bloomfield Ave, Montclair, NJ 07042-3582
- Phone
- 973-937-8632
- Fax
- —
- Last updated
- January 22, 2018
Mending Wings To Soar is a healthcare organization based in Montclair, NJ. Mending Wings To Soar practices in Montclair, NJ. The NPI Number for Mending Wings To Soar is 1871001057 and holds a License No. 37PC00559100 (NJ). The current practice location address for Mending Wings To Soar is 460 Bloomfield Ave, Montclair, NJ 07042-3582 and can be reached out via phone at 973-937-8632.
Provider Profile Details
- NPI Number
- 1871001057
- Provider Name
- Mending Wings To Soar
- Provider Entity Type
- Organization
- Address
- 460 Bloomfield Ave, Montclair, NJ 07042-3582
- Phone Number
- 973-937-8632
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Ms. Moya Mathison, LPC · Owner/Therapist · 973-937-8632
- Other Names
- Mending Wings To Soar (Doing Business As)
- Provider Enumeration Date
- January 22, 2018
- Last Update Date
- January 22, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 460 Bloomfield Ave
Montclair, NJ 07042-3582 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3582
- Phone Number
- 973-937-8632
Provider Business Mailing Address Details
- Address
- 460 Bloomfield Ave
Montclair, NJ 07042-3582 - City
- Montclair
- State
- NJ
- Zip
- 07042-3582
- Phone Number
- 973-937-8632
License Information
- License Number
- 37PC00559100
- License State
- NJ
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mending Wings To Soar?
The NPI number of Mending Wings To Soar is 1871001057. It was assigned on January 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Mending Wings To Soar?
Mending Wings To Soar is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in NJ under license number 37PC00559100.
Where does Mending Wings To Soar practice?
The practice location is 460 Bloomfield Ave, Montclair, NJ 07042-3582. The office can be reached at 973-937-8632 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871001057 directly on the NPPES registry website.