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Contact Information

MIND BODY MOTHERHOOD LLC
649 AMITY RD STE 103
BETHANY, CT06524-3091
 Phone: 860-357-1734
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MIND BODY MOTHERHOOD LLC

NPI Number 1770105736
LBN Legal business name MIND BODY MOTHERHOOD LLC
Authorized official SAMANTHA NILSSON - (THERAPIST AND OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2020
Last updated 05/13/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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