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MIND BODY CONNECTION COUNSELING LLC NPI 1114672250


NPI Information

NPI: 1114672250
Provider Name: MIND BODY CONNECTION COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
542 CENTRAL AVE
PAWTUCKET, RI
ZIP 02861
Phone: (401) 409-5509
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MIND BODY CONNECTION COUNSELING, LLC is a mental health (including community mental health center) clinic center in Pawtucket, RI. MIND BODY CONNECTION COUNSELING, LLC NPI is 1114672250. The provider is registered as an organization entity type.

The provider's business location address is:

542 CENTRAL AVE
PAWTUCKET, RI
ZIP 02861-919
Phone: (401) 409-5509

The provider's authorized official is Katelyn Marie Crompton .
The authorized official title is Therapist and has the following contact phone number (401) 409-5509.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 2/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.