| Mind Management Services Inc | |
|
20 Central Ave Norwich CT 06360-4753 | |
| (860) 889-4944 | |
| (860) 889-4944 |
| Full Name | Mind Management Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Central Ave, Norwich, Connecticut |
| Authorized Official Name and Position | Diane Marie Page (CLINICAL SOCIAL WORKER / VICE PRESI) |
| Authorized Official Contact | 8608894944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Management Services Inc 20 Central Ave Norwich CT 06360-4753 Ph: (860) 889-4944 | Mind Management Services Inc 20 Central Ave Norwich CT 06360-4753 Ph: (860) 889-4944 |
| NPI Number | 1265626899 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626899 | NPI | - | NPPES |
| 004254976 | Medicaid | CT | |
| 140003950CT01 | Other | CT | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 1041C0700X (Connecticut) | Secondary |
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