| Mindful Matters Counseling, Llc | |
|
5 Magauran Dr Stafford Springs CT 06076-4037 | |
| (860) 712-8165 | |
| Not Available |
| Full Name | Mindful Matters Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Magauran Dr, Stafford Springs, Connecticut |
| Authorized Official Name and Position | Shannon Laurie Radlo (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8607128165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Matters Counseling, Llc 5 Magauran Dr Stafford Springs CT 06076-4037 Ph: (860) 712-8165 | Mindful Matters Counseling, Llc 5 Magauran Dr Stafford Springs CT 06076-4037 Ph: (860) 712-8165 |
| NPI Number | 1972079796 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 7214281831 |
|---|---|
| Medicare Enrollment ID | O20181119001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972079796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shannon L Radlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881944015 PECOS PAC ID: 8123372745 Enrollment ID: I20181119001628 |
Johnson Memorial Hospital, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Chestnut Hill Rd, Stafford Springs, CT 06076 Phone: 860-684-4251 | |
Stafford Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hyde Park Rd, Stafford Springs, CT 06076 Phone: 860-684-4239 Fax: 860-684-0511 | |
Echn Johnson Memorial Hospital, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Chestnut Hill Rd, Stafford Springs, CT 06076 Phone: 860-684-8290 Fax: 860-684-8179 | |
Stafford Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hyde Park Rd, Stafford Springs, CT 06076 Phone: 860-684-4239 Fax: 860-684-0511 | |
Town Of Stafford - Stafford Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hyde Park Rd, Stafford Springs, CT 06076 Phone: 860-684-4239 Fax: 860-684-0511 |