OPEN MINDED WELLNESS LLC (NPI# 1649887357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649887357 |
| Entity Type | Organization |
| Organization Name | OPEN MINDED WELLNESS LLC |
| Practice Address |
203 Broad St Unit 3c Milford CT 06460-4749 |
| Practice Telephone | 2037019195 |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-09-26 |
| Authorized Official Name | MARCIA GEORGES (OWNER) |
| Authorized Official Telephone | 2032736619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Open Minded Wellness LLC | 203 Broad St Suite C3, Milford, CT 06460 |
| Street Address |
203 BROAD ST UNIT 3C |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171369 | B Your Best Mental Wellness, LLC | Social Worker | 203 Broad St Unit 3c, Milford, CT 06460-4749 | 2020-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923797 | Tiffany Hope | Social Worker | 217 Forest Rd, Milford, CT 06461-2729 | 2020-08-22 |
| 1306458963 | Erica Mcneely, LLC | Social Worker | 675 W Dawson Rd, Milford, MI 48381-2718 | 2020-08-17 |
| 1578171369 | B Your Best Mental Wellness, LLC | Social Worker | 203 Broad St Unit 3c, Milford, CT 06460-4749 | 2020-07-17 |
| 1740805324 | Michele H Brownstein | Social Worker | 123 Hillside Ave, Milford, CT 06460-7811 | 2020-06-10 |
| 1336777655 | Katie Rodriguez | Social Worker | 57 Plains Rd Ste Doffice3, Milford, CT 06461-2573 | 2020-03-31 |
| 1609403302 | Marcie B Carlson | Social Worker | 111a Merwin Ave, Milford, CT 06460-7957 | 2020-03-24 |
| 1134689839 | Mikhail Wint Sr. | Social Worker | 556 S Dupont Blvd Ste I, Milford, DE 19963-1706 | 2019-03-20 |
| 1174008445 | Susan M Beers | Social Worker | 86 Stable Rd, Milford, NH 03055-3536 | 2018-10-02 |
| 1659862142 | Michael T Wright | Social Worker | 104 Bennett Ave Ste 2a-1, Milford, PA 18337-9423 | 2018-05-21 |
| 1952890170 | Sandra Caproni | Social Worker | 9 Oak Ter, Milford, MA 01757-1329 | 2018-05-03 |
| Find all providers in MILFORD | ||||
Please comment or provide details below to improve the information on OPEN MINDED WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.