WISE MIND, LLC
NPI 1265196737
Counselor - Mental Health in Mystic, CT
Active since October 29, 2021
About Wise Mind, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISE MIND, LLC (NPI 1265196737) is a healthcare organization registered as a mental health in Mystic, Connecticut and active in the NPI registry since October 2021. The organization lists Oraide Mariana Batista, Owner, as its authorized official.
NPPES Registry Identity
NPI1265196737
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWISE MIND, LLC
Location Address12 ROOSEVELT AVE STE 203Mystic, CT 06355-2842
Mailing Address12 Roosevelt Ave Ste 203Mystic, CT 06355-2842 · (860) 249-0347
Phone(860) 249-0347
Organization SubpartNo
Authorized OfficialOraide Mariana BatistaOwner · (860) 249-0347
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1265196737 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 ROOSEVELT AVE STE 203, Mystic, CT 06355
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265196737, enumerated as an "organization" on October 29, 2021.
The provider is located at 12 ROOSEVELT AVE STE 203 MYSTIC, CT 06355 and the phone number is (860) 249-0347.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
