| Mindful Solutions Llc | |
|
58 River St Milford CT 06460-3381 | |
| (203) 252-0667 | |
| Not Available |
| Full Name | Mindful Solutions Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 58 River St, Milford, Connecticut |
| Authorized Official Name and Position | Robert E Johnson (OWNER) |
| Authorized Official Contact | 2032520667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Solutions Llc 58 River St Milford CT 06460-3381 Ph: (203) 252-0667 | Mindful Solutions Llc 58 River St Milford CT 06460-3381 Ph: (203) 252-0667 |
| NPI Number | 1013443027 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 0941740708 |
|---|---|
| Medicare Enrollment ID | O20240906002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013443027 | NPI | - | NPPES |
| 008071382 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1897 (Connecticut) | Primary |
| Provider Name | Robert Emerson Lamb Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588195747 PECOS PAC ID: 1850831611 Enrollment ID: I20240906002758 |
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