Mindful Therapy Studio Llc

LBN: Mindful Therapy Studio Llc
Mindful Therapy Studio Llc is an health care organization with primary practice located at 16 Rae Palmer Road , Moodus CT 06423. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Mindful Therapy Studio Llc can be contacted via phone (860) 967-8941, or through Rogers, Lisa Beth via phone (860) 967-8941.

Contact Information

Primary practice address
16 Rae Palmer Road Moodus CT 06423
Phone: (860) 967-8941
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Lisa Beth Licensed Clinical Social Worker (LCSW)
Phone: (860) 967-8941

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 008520 Connecticut
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1295215093
LBN Legal business name Mindful Therapy Studio Llc
DBA Doing business as
Authorized official Rogers, Lisa Beth Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2018
Last updated Sep 6th, 2018 - about 7 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 1295215093 NPPES
Connecticut Other 1265742597 NPI 1

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