Nourished Minds LLC
Organization Active NPI Mental Health Counselor · South Glastonbury, CT
NPI 1609613116 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1609613116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- NOURISHED MINDS LLC
- Practice address
- 891 Main Street
Suite 1B
South Glastonbury, CT 06073 - Phone
- (401) 241-1952
- NPI assigned
- Jul 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Miranda Mitchell, APRN
- Title
- Co-Owner
- Phone
- (401) 241-1952
Practitioners 1
-
Miranda Mitchell, CPNP-PC, PMHNP-BC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
891 Main Street
Suite 1B
South Glastonbury, CT 06073
Mailing address
56 Petersen Rd
Granby, CT 06035-1902
Phone (401) 241-1952
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427743889 | Other | NPI | |
| 1083154850 | Other | NPI |
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- NFD
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All providers in South Glastonbury, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.