Mind Body Rise
Social Worker, Clinical in Stonington, Connecticut
1003481755- Practice location
- 808 Stonington RD Ste 200, Stonington, CT 06378-2517
- Phone
- 860-535-9922
- Fax
- —
- Last updated
- July 1, 2025
Mind Body Rise is a healthcare organization based in Stonington, CT. Mind Body Rise practices in Stonington, CT. The NPI Number for Mind Body Rise is 1003481755. The current practice location address for Mind Body Rise is 808 Stonington RD Ste 200, Stonington, CT 06378-2517 and can be reached out via phone at 860-535-9922.
Provider Profile Details
- NPI Number
- 1003481755
- Provider Name
- Mind Body Rise
- Provider Entity Type
- Organization
- Address
- 808 Stonington RD Ste 200, Stonington, CT 06378-2517
- Phone Number
- 860-535-9922
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Terri Fogg Donovan · Owner · 860-912-9584
- Provider Enumeration Date
- May 25, 2021
- Last Update Date
- July 1, 2025
- Certification Date
- July 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 808 Stonington RD Ste 200
Stonington, CT 06378-2517 - City
- Stonington
- State
- Connecticut
- Zip
- 06378-2517
- Phone Number
- 860-535-9922
Provider Business Mailing Address Details
- Address
- 808 Stonington RD
Stonington, CT 06378-2530 - City
- Stonington
- State
- CT
- Zip
- 06378-2530
- Phone Number
- 860-535-9922
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mind Body Rise?
The NPI number of Mind Body Rise is 1003481755. It was assigned on May 25, 2021 and is currently active in the NPPES registry.
What is the specialty of Mind Body Rise?
Mind Body Rise is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mind Body Rise practice?
The practice location is 808 Stonington RD Ste 200, Stonington, CT 06378-2517. The office can be reached at 860-535-9922 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003481755 directly on the NPPES registry website.