| Mind and Body Balanced LLC | |
|
47 Waterbury Rd Ste 322 Prospect CT 06712-1256 | |
| (914) 252-3976 | |
| (914) 416-5658 |
| Full Name | Mind and Body Balanced LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 47 Waterbury Rd Ste 322, Prospect, Connecticut |
| Authorized Official Name and Position | Cassandra Lucy Williams (NURSE PRACTITIONER) |
| Authorized Official Contact | 9142523976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind and Body Balanced LLC 47 Waterbury Rd Ste 322 Prospect CT 06712-1256 Ph: (914) 252-3976 | Mind and Body Balanced LLC 47 Waterbury Rd Ste 322 Prospect CT 06712-1256 Ph: (914) 252-3976 |
| NPI Number | 1487519807 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 12/18/2025 |
| Certification Date | 12/18/2025 |
| Medicare PECOS PAC ID | 3678041142 |
|---|---|
| Medicare Enrollment ID | O20260504007075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487519807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Cassandra Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851796957 PECOS PAC ID: 3779066956 Enrollment ID: I20260316002751 |
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