| Thriving Minds Connecticut, Llc | |
|
39 Leonard Rd Middlebury CT 06762-3602 | |
| (203) 518-4090 | |
| (860) 530-5173 |
| Full Name | Thriving Minds Connecticut, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 39 Leonard Rd, Middlebury, Connecticut |
| Authorized Official Name and Position | Jessica L Schirano (OWNER) |
| Authorized Official Contact | 2035184090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Minds Connecticut, Llc 39 Leonard Rd Middlebury CT 06762-3602 Ph: (203) 518-4090 | Thriving Minds Connecticut, Llc 39 Leonard Rd Middlebury CT 06762-3602 Ph: (203) 518-4090 |
| NPI Number | 1770180770 |
|---|---|
| Provider Enumeration Date | 10/03/2020 |
| Last Update Date | 10/03/2020 |
| Certification Date | 10/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770180770 | NPI | - | NPPES |
| 008085944 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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