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 Rd , Moodus CT 06469-1195. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mindful Therapy Studio Llc can be contacted via phone (860) 967-8941, or through Rogers, Lisa via phone (860) 967-8941.
Contact Information
Primary practice address
16 Rae Palmer Rd
Moodus CT 06469-1195
Phone: (860) 967-8941
Fax:
Website:
Authorized official contact:
Name: Rogers, Lisa Licensed Clinical Social Worker (LCSW)
Phone: (860) 967-8941
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1447894209 |
|---|---|
| LBN Legal business name | Mindful Therapy Studio Llc |
| DBA Doing business as | |
| Authorized official | Rogers, Lisa Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2019 |
| Last updated | Nov 4th, 2019 - about 6 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 | 1447894209 | NPPES |
| Connecticut | MEDICAID | 047660231 |
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