Mind and Body Wellness Therapies by LB

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIND AND BODY WELLNESS THERAPIES BY LB

Practice address

400 Chestnut St
Brooklawn, NJ 08030-2507

Phone

(856) 946-2242

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Ebony Brown, LCSWNPI 1740438480

Title

Therapist

Phone

(856) 946-2242

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Brown

  • Clinical Social Worker
  • Voorhees, NJ
  • NPI 1740438480

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1154038552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHESTNUT ST",
            "city": "BROOKLAWN",
            "state": "NJ",
            "postal_code": "080302507",
            "telephone_number": "856-946-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHESTNUT ST",
            "city": "BROOKLAWN",
            "state": "NJ",
            "postal_code": "080302507",
            "telephone_number": "856-946-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY WELLNESS THERAPIES BY LB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "EBONY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-946-2242",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Browns Brooklawn Inc (Shoprite Pharmacy of Brooklawn)
• James L. Diamore (Lipkins Pharmacy)
• Melissa Jean Mackey
• Michael Mangulabnan
• Meghan McEnerney, LPC
• Ankit Patel
• Anthony George Pennant Jr., LMFT
• Sophia Ragan, CCC-SLP
• Rhan Ellis Roach, RPH
• Thrift Drug Inc (Rite Aid Pharmacy 10443)

• Mental Health Counselor in Brooklawn, NJ
• Providers in Brooklawn, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.