| Mountain Laurel Mental Health Llc | |
|
1224 Mill St Bldg B East Berlin CT 06023-1159 | |
| (860) 406-4894 | |
| Not Available |
| Full Name | Mountain Laurel Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1224 Mill St Bldg B, East Berlin, Connecticut |
| Authorized Official Name and Position | Rachael Ann Medina (OWNER) |
| Authorized Official Contact | 2033798121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Laurel Mental Health Llc 118 Crown Street Ext Meriden CT 06450-7706 Ph: () - | Mountain Laurel Mental Health Llc 1224 Mill St Bldg B East Berlin CT 06023-1159 Ph: (860) 406-4894 |
| NPI Number | 1225923147 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225923147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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