MINDFUL MATTERS COUNSELING, LLC (NPI# 1972079796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972079796 |
| Entity Type | Organization |
| Organization Name | MINDFUL MATTERS COUNSELING, LLC |
| Practice Address |
5 Magauran Dr Stafford Springs CT 06076-4037 |
| Practice Telephone | 8607128165 |
| Mailing Telephone | 8607128165 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MRS. SHANNON LAURIE RADLO (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 8607128165 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mindful Matters Counseling | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Mindful Matters Counseling, LLC | 5 Magauran Drive, Stafford Springs, CT 06076 |
| Street Address |
5 MAGAURAN DR |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1770180770 | Thriving Minds Connecticut, LLC | Clinic/Center | 39 Leonard Rd, Middlebury, CT 06762-3602 | 2020-10-03 |
| 1093326464 | Hope Haven, LLC | Clinic/Center | 543 Kanuga Trl, Orange, CT 06477-2659 | 2020-08-11 |
| 1760093108 | Intuitive Healing Counseling LLC | Clinic/Center | 95 Armory Rd Ste 2, Stratford, CT 06614-1753 | 2020-08-10 |
| 1750992244 | Connecting The Pieces, LLC | Clinic/Center | 151 New Park Ave Unit 27, Hartford, CT 06106-2181 | 2020-08-10 |
| 1063021228 | Clear Sky Therapy Services | Clinic/Center | 68 Lyman Rd, West Hartford, CT 06117-1311 | 2020-07-23 |
| 1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
| 1386279453 | Pathways To Wellness, LLC | Clinic/Center | 74 Sheldon Ter, New Haven, CT 06511-2006 | 2020-03-09 |
| 1053945196 | Farley Counseling Services | Clinic/Center | 29b Hartford Ave, Granby, CT 06035-2326 | 2020-02-27 |
| 1922630557 | Starfish Family Connections, LLC | Clinic/Center | 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
Please comment or provide details below to improve the information on MINDFUL MATTERS COUNSELING, 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.