| Mindscapes Counseling Pllc | |
|
230 Frost Rd Unit B Waterbury CT 06705-2154 | |
| (203) 819-0789 | |
| Not Available |
| Full Name | Mindscapes Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 230 Frost Rd Unit B, Waterbury, Connecticut |
| Authorized Official Name and Position | Elliot Richelson (PRESIDENT, SECRETARY, AND TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindscapes Counseling Pllc 230 Frost Rd Unit B Waterbury CT 06705-2154 Ph: (203) 768-4427 | Mindscapes Counseling Pllc 230 Frost Rd Unit B Waterbury CT 06705-2154 Ph: (203) 819-0789 |
| NPI Number | 1295130581 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295130581 | NPI | - | NPPES |
| 008056440 | Medicaid | CT |
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