| Wise Mind, Llc | |
|
12 Roosevelt Ave Ste 203 Mystic CT 06355-2842 | |
| (860) 249-0347 | |
| Not Available |
| Full Name | Wise Mind, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 Roosevelt Ave Ste 203, Mystic, Connecticut |
| Authorized Official Name and Position | Oraide Mariana Batista (OWNER) |
| Authorized Official Contact | 8602490347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind, Llc 12 Roosevelt Ave Ste 203 Mystic CT 06355-2842 Ph: (860) 249-0347 | Wise Mind, Llc 12 Roosevelt Ave Ste 203 Mystic CT 06355-2842 Ph: (860) 249-0347 |
| NPI Number | 1265196737 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265196737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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