Mind Power Psychotherapy And Hypnosis, Llc | |
3 Barnard Ln Ste 304 Bloomfield CT 06002-2495 | |
(860) 797-5306 | |
(800) 310-3292 |
Full Name | Mind Power Psychotherapy And Hypnosis, Llc |
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Speciality | Clinic/Center |
Location | 3 Barnard Ln Ste 304, Bloomfield, Connecticut |
Authorized Official Name and Position | Melissa Ann Shute (OWNER) |
Authorized Official Contact | 8607974396 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind Power Psychotherapy And Hypnosis, Llc 3 Barnard Ln Ste 304 Bloomfield CT 06002-2495 Ph: (860) 797-5306 | Mind Power Psychotherapy And Hypnosis, Llc 3 Barnard Ln Ste 304 Bloomfield CT 06002-2495 Ph: (860) 797-5306 |
NPI Number | 1861126799 |
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Provider Enumeration Date | 07/15/2022 |
Last Update Date | 07/15/2022 |
Certification Date | 07/15/2022 |
Medicare PECOS PAC ID | 8325488489 |
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Medicare Enrollment ID | O20240507000210 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861126799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Melissa Ann Shute |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1437804101 PECOS PAC ID: 2860832938 Enrollment ID: I20240507000416 |
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