| Mindfully Thrive Counseling Services, Llc | |
| 
					34 Jerome Avenue Suite 318 Bloomfield CT 06002-2445  | |
| (860) 458-6118 | |
| Not Available | 
| Full Name | Mindfully Thrive Counseling Services, Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 34 Jerome Avenue, Bloomfield, Connecticut | 
| Authorized Official Name and Position | Latoya Hinds (OWNER) | 
| Authorized Official Contact | 8604586118 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mindfully Thrive Counseling Services, Llc 34 Jerome Avenue Suite 318 Bloomfield CT 06002-2445 Ph: (860) 458-6118  | Mindfully Thrive Counseling Services, Llc 34 Jerome Avenue Suite 318 Bloomfield CT 06002-2445 Ph: (860) 458-6118  | 
| NPI Number | 1225586308 | 
|---|---|
| Provider Enumeration Date | 09/16/2016 | 
| Last Update Date | 07/25/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225586308 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007540 (Connecticut) | Primary | 
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