Mind & Body Healing Therapy Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND & BODY HEALING THERAPY CENTER, LLC

Practice address

18-20 Lackawanna PLZ Ste 200
Montclair, NJ 07042-3642

Phone

(973) 988-1496

NPI assigned

Oct 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Mora, LCSWNPI 1871230243

Title

Clinician

Phone

(862) 200-3083

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Mora, LCSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1871230243
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1013633593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 200",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "973-988-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 200",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "973-988-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY HEALING THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "862-200-3083",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9-23 8th Ave Apt 104",
            "city": "Passaic",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070552152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce Nils Miller, PHD
• Kenneth Miller, MD FACC FSCAI
• Raymond Charles Miller III, LMT
• Margaret Louise Mills, CMT
• Tyran G Mincey, D.C.
• Mindful Therapeutic Solutions LLC
• Minds in Motion Global LLC
• Ebony James Mines
• Minos Work Program LLC
• Rocco John Miraglia, PT

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.