| The Mindwell Center, Llc | |
|
45 Pine Street Suite Numbers 4a & 6a New Canaan CT 06840 | |
| () - | |
| Not Available |
| Full Name | The Mindwell Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45 Pine Street Suite Numbers 4a & 6a, New Canaan, Connecticut |
| Authorized Official Name and Position | Devon Bickford Suozzi (FOUNDER/SUPERVISING PSYCHOTHERAPIST) |
| Authorized Official Contact | 2035947677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindwell Center, Llc 45 Pine Street Suite Numbers 4a & 6a New Canaan CT 06840 Ph: (203) 801-8180 | The Mindwell Center, Llc 45 Pine Street Suite Numbers 4a & 6a New Canaan CT 06840 Ph: () - |
| NPI Number | 1912688193 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912688193 | NPI | - | NPPES |
| 1912298894 | Other | NPI |
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