Mind Management Services Inc

LBN: Mind Management Services Inc
Mind Management Services Inc is an health care organization with primary practice located at 20 Central Ave , Norwich CT 06360-4753. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mind Management Services Inc can be contacted via phone (860) 889-4944, or through Page, Diane Marie via phone (860) 889-4944.

Contact Information

Primary practice address
20 Central Ave Norwich CT 06360-4753
Fax: (860) 889-4944
Website:
Authorized official contact:
Name: Page, Diane Marie Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X 1041C0700X Connecticut

Profile Details

NPI number 1265626899
LBN Legal business name Mind Management Services Inc
DBA Doing business as
Authorized official Page, Diane Marie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Apr 30th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265626899 NPPES
Connecticut MEDICAID 004254976
Connecticut Other 140003950CT01

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