The Mindwell Center, Llc
LBN: The Mindwell Center, Llc
The Mindwell Center, Llc is an health care organization with primary practice located at 45 Pine Street Suite Numbers 4A & 6A , New Canaan CT 06840. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Contact Information
Primary practice address
45 Pine Street Suite Numbers 4A & 6A
New Canaan CT 06840
Fax:
Website:
Authorized official contact:
Name: Suozzi, Devon Bickford Licensed Clinical Social Worker (LCSW)
Phone: (203) 594-7677
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1912688193 |
|---|---|
| LBN Legal business name | The Mindwell Center, Llc |
| DBA Doing business as | |
| Authorized official | Suozzi, Devon Bickford Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2023 |
| Last updated | Jul 31st, 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 | 1912688193 | NPPES |
| Other | 1912298894 | NPI |
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