| Mind After Mind Inc | |
|
821 Success Ave Stratford CT 06614-3731 | |
| (475) 243-8875 | |
| Not Available |
| Full Name | Mind After Mind Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 821 Success Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Kedeisha Samantha Fountain (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4752438875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind After Mind Inc 821 Success Ave Stratford CT 06614-3731 Ph: (475) 243-8875 | Mind After Mind Inc 821 Success Ave Stratford CT 06614-3731 Ph: (475) 243-8875 |
| NPI Number | 1922889112 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922889112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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