| Empowered Mindscape Llc | |
|
543 N Main St Ste F Manchester CT 06042-1935 | |
| (607) 857-0143 | |
| Not Available |
| Full Name | Empowered Mindscape Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 543 N Main St Ste F, Manchester, Connecticut |
| Authorized Official Name and Position | Tanya C. Wayne (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6078570143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Mindscape Llc 516 Hills St East Hartford CT 06118-3028 Ph: (607) 857-0143 | Empowered Mindscape Llc 543 N Main St Ste F Manchester CT 06042-1935 Ph: (607) 857-0143 |
| NPI Number | 1972303170 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972303170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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