Refresh Your Soul, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

REFRESH YOUR SOUL, LLC

Practice address

47 Water St
Mystic, CT 06355-2573

Phone

(860) 822-6009

Fax

(860) 822-6009

NPI assigned

Oct 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Adams-Mish, LMFTNPI 1174668578

Title

Business Owner

Phone

(860) 822-6009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Lynne Adams Mish, LMFT

  • Marriage & Family Therapist
  • Franklin, CT
  • NPI 1174668578
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1265908461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PEQUOT AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551713",
            "telephone_number": "860-822-6009",
            "fax_number": "860-822-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WATER ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552573",
            "telephone_number": "860-822-6009",
            "fax_number": "860-822-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH YOUR SOUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS-MISH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "860-822-6009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care of Mystic PC
• Victoria Prouty
• Daniel Joseph Pugliese, ND
• Elizabeth Quinn
• Shanna Tari Reels, LCSW
• Sundeep V Rege, DMD
• Elisabeth Reid
• Joanne Carol Richards, CAC
• Anne Rivers, LCSW
• Ashley Marie Robinson, APRN, FNP-C

• Health Service Clinic/Center in Mystic, CT
• Providers in Mystic, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.