| Guiding Minds Llc | |
|
416 Highland Avenue Build B Suite 6 Cheshire CT 06410 | |
| (860) 650-1388 | |
| Not Available |
| Full Name | Guiding Minds Llc |
|---|---|
| Speciality | Social Worker |
| Location | 416 Highland Avenue, Cheshire, Connecticut |
| Authorized Official Name and Position | Diana Sadjadi-fard (CEO) |
| Authorized Official Contact | 3472275150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Minds Llc 166 Hudson St Fl 1 Berlin CT 06037-3113 Ph: () - | Guiding Minds Llc 416 Highland Avenue Build B Suite 6 Cheshire CT 06410 Ph: (860) 650-1388 |
| NPI Number | 1932615028 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Medicare PECOS PAC ID | 2062774219 |
|---|---|
| Medicare Enrollment ID | O20180328000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932615028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9938 (Connecticut) | Primary |
| Provider Name | Diana Sadjadi-fard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831609171 PECOS PAC ID: 3971865122 Enrollment ID: I20180411000054 |
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