MIND DYNAMICS LLC NPI 1538889936

NPI Information

NPI: 1538889936
Provider Name: MIND DYNAMICS LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
17 FARMINGTON AVE STE B4
PLAINVILLE, CT
ZIP 06062
Phone: (310) 415-1148
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MIND DYNAMICS LLC is a rehabilitation and substance use disorder clinic center in Plainville, CT. MIND DYNAMICS LLC NPI is 1538889936. The provider is registered as an organization entity type.

The provider's business location address is:

17 FARMINGTON AVE STE B4
PLAINVILLE, CT
ZIP 06062-774
Phone: (310) 415-1148

The provider's authorized official is Peter Lotterhos .
The authorized official title is Owner and has the following contact phone number (310) 415-1148.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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