MIND BODY AND SOUL LLC NPI 1891097630

NPI Information

  • NPI: 1891097630
  • Provider Name: MIND, BODY AND SOUL, LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 21 NEW BRITAIN AVE
    SUITE 215
    ROCKY HILL, CT
    ZIP 06067
  • Phone: (860) 716-6246

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NPI Details

MIND, BODY AND SOUL, LLC is a marriage family therapist in Rocky Hill, CT. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MIND, BODY AND SOUL, LLC NPI is 1891097630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 NEW BRITAIN AVE
SUITE 215
ROCKY HILL, CT
ZIP 06067-100
Phone: (860) 716-6246

The provider's authorized official is Melissa Kelly .
The authorized official title is Owner and has the following contact phone number (860) 716-6246.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.

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
1106H00000XMarriage & Family Therapist001163CONNECTICUTYes

What is NPI?

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This page was last updated on: 11/21/2025

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