My Mind Matters

LBN: My Mind Matters
My Mind Matters is an health care organization with primary practice located at 34 Jerome Ave Ste 116 , Bloomfield CT 06002-2463. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. My Mind Matters can be contacted via phone (860) 386-8034, or through Johnson, Dr. Keniesha via phone (860) 680-4240.

Contact Information

Primary practice address
34 Jerome Ave Ste 116 Bloomfield CT 06002-2463
Phone: (860) 386-8034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dr. Keniesha Licensed Clinical Social Worker (LCSW)
Phone: (860) 680-4240

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1316625080
LBN Legal business name My Mind Matters
DBA Doing business as
Authorized official Johnson, Dr. Keniesha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 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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