Tides Of Mind Counseling

LBN: Mindscapes Counseling Pllc
Tides Of Mind Counseling is an health care organization with primary practice located at 230 Frost Rd Unit B , Waterbury CT 06705-2154. The organization recently has 2 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). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mindscapes Counseling Pllc can be contacted via phone (203) 819-0789, or through Richelson, Elliot via phone (904) 605-4986.

Contact Information

Primary practice address
230 Frost Rd Unit B Waterbury CT 06705-2154
Phone: (203) 819-0789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richelson, Elliot Doctor of Medicine (MD)
Phone: (904) 605-4986

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 008064 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1295130581
LBN Legal business name Mindscapes Counseling Pllc
DBA Doing business as Tides Of Mind Counseling
Authorized official Richelson, Elliot Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 29th, 2014
Last updated Apr 4th, 2023 - about last year

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 1295130581 NPPES
Connecticut MEDICAID 008056440

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