Mindful Mediation Llc
LBN: Mindful Mediation Llc
Mindful Mediation Llc is an health care organization with primary practice located at 85 State St Ste D , North Haven CT 06473-2240. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mindful Mediation Llc can be contacted via phone (203) 376-0220, or through Rose, Shalyn via phone (203) 376-0220.
Contact Information
Primary practice address
85 State St Ste D
North Haven CT 06473-2240
Phone: (203) 376-0220
Fax:
Website:
Authorized official contact:
Name: Rose, Shalyn Licensed Clinical Social Worker (LCSW)
Phone: (203) 376-0220
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001770 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 008003 | Connecticut |
Profile Details
| NPI number | 1891153474 |
|---|---|
| LBN Legal business name | Mindful Mediation Llc |
| DBA Doing business as | |
| Authorized official | Rose, Shalyn Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2016 |
| Last updated | Feb 10th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891153474 | NPPES |
| Connecticut | MEDICAID | 008041822 | |
| Connecticut | MEDICAID | 008038021 |
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