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Mindful Therapy Studio Llc
Adolescent and Children Mental Health Clinic/Center in Moodus, Connecticut
NPI 1295215093

Mindful Therapy Studio Llc is an Adolescent and Children Mental Health Clinic/Center based in Colchester, CT and is specialized in Adolescent and Children Mental Health. Mindful Therapy Studio Llc practices in Moodus, CT. The NPI Number for Mindful Therapy Studio Llc is 1295215093 and holds a License No. 008520 (Connecticut).

The current practice location address for Mindful Therapy Studio Llc is 16 Rae Palmer Road, Moodus, CT and can be reached out via phone at 860-967-8941.

Location: 16 Rae Palmer Road, Moodus, CT, 06415-1601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295215093
Provider Name
Mindful Therapy Studio Llc
Credential
Provider Entity Type
Organization
Address
16 Rae Palmer Road, Moodus, CT, 06415-1601
Phone Number
860-967-8941
Fax Number
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265742597 01 CT NPI 1
institution
Provider Business Practice Location Address Details
Address
16 Rae Palmer Road
City
Moodus
State
Connecticut
Zip
06423
Phone Number
860-967-8941
Fax Number
person
Provider Business Mailing Address Details
Address
16 Rae Palmer Road
City
Moodus
State
Connecticut
Zip
06423
Phone Number
860-967-8941
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
008520 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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