1831982933 NPI number — MINDFUL MOMENTS COUNSELING LLC

Table of content: SUSAN ELIZABETH HILEMAN SLP (NPI 1710298310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831982933 NPI number — MINDFUL MOMENTS COUNSELING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MINDFUL MOMENTS COUNSELING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831982933
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6503 COVENTRY WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT LAUREL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08054-6828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-313-6686
Provider Business Mailing Address Fax Number:
856-313-6686

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3111 ROUTE 38 STE 11-603
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT LAUREL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08054-9754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-313-6686
Provider Business Practice Location Address Fax Number:
856-313-6686
Provider Enumeration Date:
05/22/2025

Additional Information

Authorized Official

Authorized Official Last Name:
ZACHARIAS
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER/PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
856-313-6686

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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