| Mindful Steps LLC | |
|
27 Siemon Company Dr Ste 355w Watertown CT 06795-2668 | |
| (860) 414-9515 | |
| Not Available |
| Full Name | Mindful Steps LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 27 Siemon Company Dr Ste 355w, Watertown, Connecticut |
| Authorized Official Name and Position | Belinda Ruth Bridges (OWNER) |
| Authorized Official Contact | 8604149515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Steps LLC Po Box 307 Terryville CT 06786-0307 Ph: (860) 418-9515 | Mindful Steps LLC 27 Siemon Company Dr Ste 355w Watertown CT 06795-2668 Ph: (860) 414-9515 |
| NPI Number | 1154954808 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8224459375 |
|---|---|
| Medicare Enrollment ID | O20200528001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154954808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Belinda Ruth Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326427527 PECOS PAC ID: 5890085294 Enrollment ID: I20160525003078 |
| Provider Name | Nicole Marie Salisbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033667605 PECOS PAC ID: 7911330741 Enrollment ID: I20191209000829 |
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