Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Rejuvenation Therapy

Organization Clinical Social Worker · NPI 1295299170

Mind Rejuvenation Therapy provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

57 Saint Marks Pl
New York, NY 10003-7902
Phone: (347) 620-3477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1295299170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacklyn Krol — Psychotherapist/Owner · (347) 620-3477
Other names Mind Rejuvenation Therapy
NPI enumeratedJanuary 25, 2019
Last updated in NPPESJanuary 25, 2019
Mailing address57 Saint Marks Pl, New York, NY 10003-7902

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