Mystic Services, LLC
Community/Behavioral Health in Mystic, Connecticut
1720619364- Practice location
- 47 Water St Ste 202, Mystic, CT 06355-2573
- Phone
- 617-416-0597
- Fax
- 860-415-0018
- Last updated
- February 2, 2020
Mystic Services, LLC is a healthcare organization based in Mystic, CT. Mystic Services, LLC practices in Mystic, CT. The NPI Number for Mystic Services, LLC is 1720619364. The current practice location address for Mystic Services, LLC is 47 Water St Ste 202, Mystic, CT 06355-2573 and can be reached out via phone at 617-416-0597 and via fax at 860-415-0018.
Provider Profile Details
- NPI Number
- 1720619364
- Provider Name
- Mystic Services, LLC
- Provider Entity Type
- Organization
- Address
- 47 Water St Ste 202, Mystic, CT 06355-2573
- Phone Number
- 617-416-0597
- Fax Number
- 860-415-0018
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Lauren E St. Amour, MSW, LCSW · Licensed Clinical Social Worker · 617-416-0597
- Other Names
- Mystic Bridge To Wellness (Doing Business As)
- Provider Enumeration Date
- February 2, 2020
- Last Update Date
- February 2, 2020
- Certification Date
- February 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Water St Ste 202
Mystic, CT 06355-2573 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2573
- Phone Number
- 617-416-0597
- Fax Number
- 860-415-0018
Provider Business Mailing Address Details
- Address
- 11 Joyce St
Mystic, CT 06355-2947 - City
- Mystic
- State
- CT
- Zip
- 06355-2947
- Phone Number
- 617-416-0597
- Fax Number
- 860-415-0018
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Mystic, CT
View all Community/Behavioral Health providers in Mystic →Frequently Asked Questions
What is the NPI number of Mystic Services, LLC?
The NPI number of Mystic Services, LLC is 1720619364. It was assigned on February 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Mystic Services, LLC?
Mystic Services, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Mystic Services, LLC practice?
The practice location is 47 Water St Ste 202, Mystic, CT 06355-2573. The office can be reached at 617-416-0597 (phone) or 860-415-0018 (fax).
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 1720619364 directly on the NPPES registry website.