Nourished Minds LLC
Counselor, Mental Health in South Glastonbury, Connecticut
1609613116- Practice location
- 891 Main Street, Suite 1B, South Glastonbury, CT 06073
- Phone
- 401-241-1952
- Fax
- —
- Last updated
- January 3, 2025
Nourished Minds LLC is a healthcare organization based in South Glastonbury, CT. Nourished Minds LLC practices in South Glastonbury, CT. The NPI Number for Nourished Minds LLC is 1609613116. The current practice location address for Nourished Minds LLC is 891 Main Street, Suite 1B, South Glastonbury, CT 06073 and can be reached out via phone at 401-241-1952.
Provider Profile Details
- NPI Number
- 1609613116
- Provider Name
- Nourished Minds LLC
- Provider Entity Type
- Organization
- Address
- 891 Main Street, Suite 1B, South Glastonbury, CT 06073
- Phone Number
- 401-241-1952
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Mrs. Miranda Mitchell, APRN · Co-Owner · 401-241-1952
- Provider Enumeration Date
- July 11, 2024
- Last Update Date
- January 3, 2025
- Certification Date
- January 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 891 Main Street
Suite 1B
South Glastonbury, CT 06073 - State
- Connecticut
- Zip
- 06073
- Phone Number
- 401-241-1952
Provider Business Mailing Address Details
- Address
- 56 Petersen RD
Granby, CT 06035-1902 - City
- Granby
- State
- CT
- Zip
- 06035-1902
- Phone Number
- 401-241-1952
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near South Glastonbury, CT
View all Counselor, Mental Health providers in South Glastonbury →Frequently Asked Questions
What is the NPI number of Nourished Minds LLC?
The NPI number of Nourished Minds LLC is 1609613116. It was assigned on July 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Nourished Minds LLC?
Nourished Minds LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Nourished Minds LLC practice?
The practice location is 891 Main Street, Suite 1B, South Glastonbury, CT 06073. The office can be reached at 401-241-1952 (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 1609613116 directly on the NPPES registry website.