Minds In Motion Llc | |
459 Main St West Haven CT 06516-4219 | |
(914) 882-9647 | |
Not Available |
Full Name | Minds In Motion Llc |
---|---|
Speciality | Social Worker |
Location | 459 Main St, West Haven, Connecticut |
Authorized Official Name and Position | Tatiana Chang (THERAPIST) |
Authorized Official Contact | 9148829647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minds In Motion Llc 589 Campbell Ave., #63 West Haven CT 06516 Ph: (914) 882-9647 | Minds In Motion Llc 459 Main St West Haven CT 06516-4219 Ph: (914) 882-9647 |
NPI Number | 1134717812 |
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Provider Enumeration Date | 01/07/2021 |
Last Update Date | 01/07/2021 |
Certification Date | 01/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134717812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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