| Mind Body Motherhood Llc | |
|
649 Amity Rd Ste 103 Bethany CT 06524-3091 | |
| (860) 357-1734 | |
| Not Available |
| Full Name | Mind Body Motherhood Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 649 Amity Rd Ste 103, Bethany, Connecticut |
| Authorized Official Name and Position | Samantha Nilsson (THERAPIST AND OWNER) |
| Authorized Official Contact | 8603571734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Motherhood Llc 130 Richardson Dr Middlebury CT 06762-2124 Ph: (860) 357-1734 | Mind Body Motherhood Llc 649 Amity Rd Ste 103 Bethany CT 06524-3091 Ph: (860) 357-1734 |
| NPI Number | 1770105736 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770105736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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