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Contact Information

MY MIND MATTERS
34 JEROME AVE STE 116
BLOOMFIELD, CT06002-2463
 Phone: 860-386-8034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Art Therapist

221700000X
 

Health & Wellness Coach

171400000X
 

School

1041S0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MY MIND MATTERS · (Female)

NPI Number 1316625080
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2023
Last updated 07/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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