| Mindful Moments Llc | |
|
30 Depot St Collinsville CT 06019-4113 | |
| (860) 307-6745 | |
| Not Available |
| Full Name | Mindful Moments Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30 Depot St, Collinsville, Connecticut |
| Authorized Official Name and Position | Robin W Lincoln (OWNER) |
| Authorized Official Contact | 8603076745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Moments Llc 44 Deerfield Trce Burlington CT 06013-1514 Ph: (860) 307-6745 | Mindful Moments Llc 30 Depot St Collinsville CT 06019-4113 Ph: (860) 307-6745 |
| NPI Number | 1508480278 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508480278 | NPI | - | NPPES |
| 1699133157 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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