| A Sound Mind, Llc | |
|
988 New London Tpke Glastonbury CT 06033-5312 | |
| (860) 262-4125 | |
| (203) 422-9509 |
| Full Name | A Sound Mind, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 988 New London Tpke, Glastonbury, Connecticut |
| Authorized Official Name and Position | Eleonora Miller (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8602624125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Sound Mind, Llc 988 New London Tpke Glastonbury CT 06033-5312 Ph: (860) 262-4125 | A Sound Mind, Llc 988 New London Tpke Glastonbury CT 06033-5312 Ph: (860) 262-4125 |
| NPI Number | 1831581362 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Medicare PECOS PAC ID | 4981916277 |
|---|---|
| Medicare Enrollment ID | O20150629002186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831581362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007838 (Connecticut) | Primary |
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