| Mindful Therapy, Llc | |
|
660 Main St S Woodbury CT 06798-3433 | |
| (203) 586-8290 | |
| (203) 586-1442 |
| Full Name | Mindful Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 660 Main St S, Woodbury, Connecticut |
| Authorized Official Name and Position | Shannon M Alther (MEMBER/MANAGER) |
| Authorized Official Contact | 2035868290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy, Llc Po Box 864 Woodbury CT 06798-0864 Ph: (203) 586-8290 | Mindful Therapy, Llc 660 Main St S Woodbury CT 06798-3433 Ph: (203) 586-8290 |
| NPI Number | 1841662129 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 01/15/2023 |
| Certification Date | 01/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841662129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9047 (Connecticut) | Primary |
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