Mindful Moments LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Collinsville, CT

NPI 1508480278 · NPPES record last updated May 29, 2020

Key facts

NPI
1508480278
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
MINDFUL MOMENTS LLC
Practice address
30 Depot St
Collinsville, CT 06019-4113
Phone
(860) 307-6745
NPI assigned
May 29, 2020
Organization subpart
No

Authorized official

Name
Robin W Lincoln, LCSW
Title
Owner
Phone
(860) 307-6745

Practitioners 1

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

National Provider Directory

Locations

30 Depot St
Collinsville, CT 06019
Phone (860) 307-6745

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

30 Depot St
Collinsville, CT 06019-4113

Mailing address

44 Deerfield Trce
Burlington, CT 06013-1514
Phone (860) 307-6745

Other identifiers

IdentifierTypeStateIssuer
1699133157MedicaidCT

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rwl@mindfulmoments.com

Other providers in Collinsville, CT

All providers in Collinsville, CT · Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

Sources for this page

Verify at the official NPI Registry.