Mystic Bridge To Wellness, LLC
Community/Behavioral Health in Mystic, Connecticut
1750044509- Practice location
- 47 Water St Ste 202, Mystic, CT 06355-2573
- Phone
- 617-416-0597
- Fax
- —
- Last updated
- October 22, 2021
Mystic Bridge To Wellness, LLC is a healthcare organization based in Mystic, CT. Mystic Bridge To Wellness, LLC practices in Mystic, CT. The NPI Number for Mystic Bridge To Wellness, LLC is 1750044509. The current practice location address for Mystic Bridge To Wellness, LLC is 47 Water St Ste 202, Mystic, CT 06355-2573 and can be reached out via phone at 617-416-0597.
Provider Profile Details
- NPI Number
- 1750044509
- Provider Name
- Mystic Bridge To Wellness, LLC
- Provider Entity Type
- Organization
- Address
- 47 Water St Ste 202, Mystic, CT 06355-2573
- Phone Number
- 617-416-0597
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Lauren St. Amour · Clinician · 617-416-0597
- Provider Enumeration Date
- October 19, 2021
- Last Update Date
- October 22, 2021
- Certification Date
- October 22, 2021
- 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
Provider Business Mailing Address Details
- Address
- 11 Joyce St
Mystic, CT 06355-2947 - City
- Mystic
- State
- CT
- Zip
- 06355-2947
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 Bridge To Wellness, LLC?
The NPI number of Mystic Bridge To Wellness, LLC is 1750044509. It was assigned on October 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Mystic Bridge To Wellness, LLC?
Mystic Bridge To Wellness, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Mystic Bridge To Wellness, 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).
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 1750044509 directly on the NPPES registry website.