National Provider Identifier Database

THE MINDWELL CENTER LLC
Mental Health (Including Community Mental Health Center)


Contact Information

THE MINDWELL CENTER, LLC
45 PINE STREET SUITE NUMBERS 4A & 6A
NEW CANAAN, CT06840
Phone:
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X

* Indicates primary specialty

NPI Profile & details for THE MINDWELL CENTER, LLC

NPI Number 1912688193
Legal business name
LBN
THE MINDWELL CENTER, LLC
Authorized official DEVON SUOZZI - (FOUNDER/SUPERVISING PSYCHOTHERAPIST)
Entity Organization
Organization subpart No
Enumeration date 07/31/2023
Last updated 07/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1912298894 NPI

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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