Renewed Mind Therapy | |
38 Kelley St Bristol CT 06010-5715 | |
(203) 535-7350 | |
Not Available |
Full Name | Renewed Mind Therapy |
---|---|
Speciality | Social Worker - Clinical |
Location | 38 Kelley St, Bristol, Connecticut |
Authorized Official Name and Position | Claude Greene (COFOUNDER) |
Authorized Official Contact | 2035357350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renewed Mind Therapy 565 Clark Ave Apt 75 Bristol CT 06010-4055 Ph: (203) 535-7350 | Renewed Mind Therapy 38 Kelley St Bristol CT 06010-5715 Ph: (203) 535-7350 |
NPI Number | 1760113245 |
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Provider Enumeration Date | 06/23/2022 |
Last Update Date | 06/23/2022 |
Certification Date | 06/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760113245 | NPI | - | NPPES |
008107263 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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