MINDFUL MATTERS COUNSELING LLC NPI 1972079796

NPI Information

  • NPI: 1972079796
  • Provider Name: MINDFUL MATTERS COUNSELING, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5 MAGAURAN DR
    STAFFORD SPRINGS, CT
    ZIP 06076
  • Phone: (860) 712-8165

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NPI Details

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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

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