Provider Demographics
NPI:1124773916
Name:MING PSYCHOTHERAPY GROUP
Entity type:Organization
Organization Name:MING PSYCHOTHERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-400-4730
Mailing Address - Street 1:2003 MORRIS AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6081
Mailing Address - Country:US
Mailing Address - Phone:908-460-7330
Mailing Address - Fax:
Practice Address - Street 1:2003 MORRIS AVE STE 1A
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6081
Practice Address - Country:US
Practice Address - Phone:908-460-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-20
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)