| Nourished Minds Llc | |
|
891 Main Street Suite 1b South Glastonbury CT 06073 | |
| (401) 241-1952 | |
| Not Available |
| Full Name | Nourished Minds Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 891 Main Street, South Glastonbury, Connecticut |
| Authorized Official Name and Position | Miranda Mitchell (OWNER) |
| Authorized Official Contact | 4012411952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourished Minds Llc 56 Petersen Rd Granby CT 06035-1902 Ph: (401) 241-1952 | Nourished Minds Llc 891 Main Street Suite 1b South Glastonbury CT 06073 Ph: (401) 241-1952 |
| NPI Number | 1609613116 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609613116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Jenifer L Gietek Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 891 Main Street, 2nd Floor Office D, South Glastonbury, CT 06073 Phone: 860-508-6633 | |
Catherine M. Morrell, Psyd., Licensed Clinical Psychologist, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 891 Main Street, South Glastonbury, CT 06073 Phone: 860-430-1882 |