Mindful Steps Llc | |
27 Siemon Company Dr Ste 355w Watertown CT 06795-2668 | |
(860) 414-9515 | |
Not Available |
Full Name | Mindful Steps Llc |
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Speciality | Community/Behavioral Health |
Location | 27 Siemon Company Dr Ste 355w, Watertown, Connecticut |
Authorized Official Name and Position | Belinda Ruth Bridges (OWNER) |
Authorized Official Contact | 8604149515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindful Steps Llc Po Box 307 Terryville CT 06786-0307 Ph: (860) 418-9515 | Mindful Steps Llc 27 Siemon Company Dr Ste 355w Watertown CT 06795-2668 Ph: (860) 414-9515 |
NPI Number | 1154954808 |
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Provider Enumeration Date | 02/20/2020 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 8224459375 |
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Medicare Enrollment ID | O20200528001787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154954808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Belinda Ruth Bridges |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326427527 PECOS PAC ID: 5890085294 Enrollment ID: I20160525003078 |
Provider Name | Nicole Marie Salisbury |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033667605 PECOS PAC ID: 7911330741 Enrollment ID: I20191209000829 |
Provider Name | Carol Crowley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245756030 PECOS PAC ID: 7012354079 Enrollment ID: I20240326002186 |
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