| Divine Mind Therapy | |
| 
					163 Boston Post Rd Ste 2-4 Waterford CT 06385-2840  | |
| (860) 333-0243 | |
| Not Available | 
| Full Name | Divine Mind Therapy | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 163 Boston Post Rd Ste 2-4, Waterford, Connecticut | 
| Authorized Official Name and Position | Geralyn Jones (MEMBER/MANAGER) | 
| Authorized Official Contact | 8603330243 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Divine Mind Therapy 12 Giovanni Dr Waterford CT 06385-1725 Ph: (860) 235-8047  | Divine Mind Therapy 163 Boston Post Rd Ste 2-4 Waterford CT 06385-2840 Ph: (860) 333-0243  | 
| NPI Number | 1528959657 | 
|---|---|
| Provider Enumeration Date | 07/15/2025 | 
| Last Update Date | 07/15/2025 | 
| Certification Date | 07/15/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528959657 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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