MINDFUL MATTERS COUNSELING LLC NPI 1972079796

NPI Information

NPI: 1972079796
Provider Name: MINDFUL MATTERS COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5 MAGAURAN DR
STAFFORD SPRINGS, CT
ZIP 06076
Phone: (860) 712-8165
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MINDFUL MATTERS COUNSELING, LLC is a mental health (including community mental health center) clinic center in Stafford Springs, CT. MINDFUL MATTERS COUNSELING, LLC NPI is 1972079796. The provider is registered as an organization entity type.

The provider's business location address is:

5 MAGAURAN DR
STAFFORD SPRINGS, CT
ZIP 06076-037
Phone: (860) 712-8165

The provider's authorized official is Shannon Laurie Radlo .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (860) 712-8165.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 10/18/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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