| Mystic Medical Associates Llc | |
|
12 Roosevelt Ave Second Floor Mystic CT 06355-2809 | |
| (860) 245-4126 | |
| (860) 245-4128 |
| Full Name | Mystic Medical Associates Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12 Roosevelt Ave, Mystic, Connecticut |
| Authorized Official Name and Position | Christopher J Anderson (APRN) |
| Authorized Official Contact | 8602454126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Medical Associates Llc 495 Gold Star Hwy Ste 112 Groton CT 06340-6229 Ph: (860) 245-4126 | Mystic Medical Associates Llc 12 Roosevelt Ave Second Floor Mystic CT 06355-2809 Ph: (860) 245-4126 |
| NPI Number | 1972954477 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972954477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mystic Therapy, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 49 Whitehall Ave, Mystic, CT 06355 Phone: 860-961-5702 Fax: 866-740-0281 | |
Blue Whale Counseling And Center For Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Schooner Dr, Mystic, CT 06355 Phone: 860-615-9652 | |
Diane Smith Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Cedar Rd, Mystic, CT 06355 Phone: 860-705-5636 | |
Daniel Salvatore Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Essex St Unit 2b, Mystic, CT 06355 Phone: 860-912-0672 | |
Glow Up Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Main St, Mystic, CT 06355 Phone: 860-772-4424 | |
Wise Mind, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Roosevelt Ave Ste 203, Mystic, CT 06355 Phone: 860-249-0347 | |
Miriam Wholean Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19 Burrows St, Mystic, CT 06355 Phone: 860-334-3080 |