| Mind Body Well Therapy Pllc | |
| 
					160 Christian St Oxford CT 06478-1221  | |
| (802) 578-3700 | |
| (203) 463-4211 | 
| Full Name | Mind Body Well Therapy Pllc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 160 Christian St, Oxford, Connecticut | 
| Authorized Official Name and Position | Lucrezia Mangione (OWNER, CLINICAL DIRECTOR, LPC, LCPC) | 
| Authorized Official Contact | 8025783700 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mind Body Well Therapy Pllc 160 Christian St Oxford CT 06478-1221 Ph: (802) 578-3700  | Mind Body Well Therapy Pllc 160 Christian St Oxford CT 06478-1221 Ph: (802) 578-3700  | 
| NPI Number | 1407415052 | 
|---|---|
| Provider Enumeration Date | 06/07/2019 | 
| Last Update Date | 09/17/2021 | 
| Certification Date | 09/17/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407415052 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
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