NPI Registry.org

Embodied Mind Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
EMBODIED MIND LLC18510013412022-11-25

The organization Embodied Mind Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1851001341. Registration indicates Embodied Mind Llc is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationEMBODIED MIND LLC
Practice Office Address2356 LEMOINE AVE
FORT LEE, NJ US
Practice Office Telephone2012663942
Practice Office Fax9802065546
Mailing Address2356 LEMOINE AVE # A
FORT LEE, NJ 070246207 US
Authorized OfficialJAWAD MANZOOR, PSYCHIATRIST
2012663942
HPT Codes
CodePractice
License No
State
2084P0800XAccess to Mental Health/Behavioral Health Providers
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry & Neurology: Psychiatry

Behavioral Health/Substance Abuse/Psychiatry

Psychiatry & Neurology Psychiatry
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
261QM0801X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Mental Health (Including Community Mental Health Center),

Community Mental Health Center

Clinic/Center Mental Health (Including Community Mental Health Center),
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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