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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1295130581 | NPPES |
| Connecticut | MEDICAID | 008056440 |
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