| Mindful Interventions Llc | |
|
268 Post Rd Fairfield CT 06824-6220 | |
| (646) 248-9332 | |
| Not Available |
| Full Name | Mindful Interventions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 268 Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Donald A Mccoy (CEO) |
| Authorized Official Contact | 6462489332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Interventions Llc 29 Dell Dale Rd Fairfield CT 06824-2425 Ph: (164) 624-8933 | Mindful Interventions Llc 268 Post Rd Fairfield CT 06824-6220 Ph: (646) 248-9332 |
| NPI Number | 1205607090 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4486007598 |
|---|---|
| Medicare Enrollment ID | O20240125000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205607090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Donald A Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558644625 PECOS PAC ID: 5395198402 Enrollment ID: I20240125000542 |
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