EMBODIED HEART MIND LLC (NPI# 1790324747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790324747 |
| Entity Type | Organization |
| Organization Name | EMBODIED HEART MIND LLC |
| Practice Address |
1330 Parkway Ave Ste 7 Ewing NJ 08628-3006 |
| Mailing Address |
Po Box 2264 Bloomfield NJ 07003-9064 |
| Practice Telephone | 9733585558 |
| Enumeration Date | 2019-12-22 |
| Last Update Date | 2019-12-22 |
| Authorized Official Name | LISSA EDMOND (OWNER/APN) |
| Authorized Official Telephone | 9733585558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1330 PARKWAY AVE STE 7 |
| City | EWING |
| State | NJ |
| Zip Code | 08628-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642503 | Lissa Edmond | Nurse Practitioner | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2016-03-22 |
| 1356951172 | Clara Y Pak | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2020-08-06 |
| 1124665708 | Supplanter Counseling & Mediation, LLC | Social Worker | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-12-03 |
| 1841835568 | Emily Suzuki | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-18 |
| 1609411842 | Marissa Mangual | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-12 |
| 1528611126 | Anna Braverman | Psychologist | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-07-23 |
| 1265093322 | Carolynne Lewis Arevalo | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-27 |
| 1760042246 | Kristine Aguilar | Social Worker | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-18 |
| 1154980670 | Nathalie Edmond, LLC | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285090514 | Phoenix Behavioral Health | Clinic/Center | 1014 Whitehead Rd Ext, Ewing, NJ 08638-4132 | 2015-12-31 |
| 1588219901 | Catholic Charities Diocese of Trenton | Clinic/Center | 1239 Parkway Ave, Suites 100a, 100b, 102, Ewing, NJ 08628-0960 | 2019-08-02 |
| 1811374796 | Twin Oaks Community Services, Inc | Clinic/Center | 31 Lexington Ave, Ewing, NJ 08618-2301 | 2015-04-30 |
| 1598196719 | Kwenyan and Associates | Clinic/Center | 860 Lower Ferry Rd, Suite 1, Ewing, NJ 08628-3525 | 2013-12-13 |
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| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.