Provider Demographics
NPI:1144893074
Name:CENTER FOR MIND AND WELLNESS
Entity type:Organization
Organization Name:CENTER FOR MIND AND WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:802-487-6121
Mailing Address - Street 1:420 E 64TH ST APT E4K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7860
Mailing Address - Country:US
Mailing Address - Phone:917-664-3860
Mailing Address - Fax:
Practice Address - Street 1:420 E 64TH ST APT E4K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7860
Practice Address - Country:US
Practice Address - Phone:802-487-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty