Mind Body Motherhood LLC
Social Worker, Clinical in Bethany, Connecticut
1770105736- Practice location
- 649 Amity RD Ste 103, Bethany, CT 06524-3091
- Phone
- 860-357-1734
- Fax
- —
- Last updated
- May 13, 2020
Mind Body Motherhood LLC is a healthcare organization based in Bethany, CT. Mind Body Motherhood LLC practices in Bethany, CT. The NPI Number for Mind Body Motherhood LLC is 1770105736. The current practice location address for Mind Body Motherhood LLC is 649 Amity RD Ste 103, Bethany, CT 06524-3091 and can be reached out via phone at 860-357-1734.
Provider Profile Details
- NPI Number
- 1770105736
- Provider Name
- Mind Body Motherhood LLC
- Provider Entity Type
- Organization
- Address
- 649 Amity RD Ste 103, Bethany, CT 06524-3091
- Phone Number
- 860-357-1734
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Samantha Nilsson, LCSW · Therapist And Owner · 860-357-1734
- Provider Enumeration Date
- May 13, 2020
- Last Update Date
- May 13, 2020
- Certification Date
- May 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 649 Amity RD Ste 103
Bethany, CT 06524-3091 - City
- Bethany
- State
- Connecticut
- Zip
- 06524-3091
- Phone Number
- 860-357-1734
Provider Business Mailing Address Details
- Address
- 130 Richardson Dr
Middlebury, CT 06762-2124 - City
- Middlebury
- State
- CT
- Zip
- 06762-2124
- Phone Number
- 860-357-1734
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 Motherhood LLC?
The NPI number of Mind Body Motherhood LLC is 1770105736. It was assigned on May 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Mind Body Motherhood LLC?
Mind Body Motherhood LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mind Body Motherhood LLC practice?
The practice location is 649 Amity RD Ste 103, Bethany, CT 06524-3091. The office can be reached at 860-357-1734 (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 1770105736 directly on the NPPES registry website.