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MYSTIC SERVICES, LLC
NPI 1720619364
Community/Behavioral Health in Mystic, CT

Active since February 02, 2020
47 WATER ST STE 202, MYSTIC, CT 06355(617) 416-0597(860) 415-0018 Get Directions Write a Review

NPPES record last updated: February 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC SERVICES, LLC (NPI 1720619364), doing business as Mystic Bridge To Wellness, is a healthcare organization registered as a community/behavioral health in Mystic, Connecticut and active in the NPI registry since February 2020. The organization lists Lauren E St. Amour, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1720619364
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMYSTIC SERVICES, LLC
Location Address47 WATER ST STE 202Mystic, CT 06355-2573
Mailing Address11 Joyce StMystic, CT 06355-2947 · (617) 416-0597 · Fax (860) 415-0018
Phone(617) 416-0597
Fax(860) 415-0018
Organization SubpartNo
Authorized OfficialLauren E St. AmourLicensed Clinical Social Worker · (617) 416-0597
Enumeration DateFebruary 2, 2020
✔ NPI 1720619364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
47 WATER ST STE 202, Mystic, CT 06355
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Other Names 1

Doing Business AsMystic Bridge To Wellness

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN E. ST. AMOUR LCSW
Social Worker (Clinical)
47 WATER ST STE 202
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (617) 416-0597
MYSTIC BRIDGE TO WELLNESS, LLC
Community/Behavioral Health
47 WATER ST STE 202
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (617) 416-0597
TREE OF LIFE THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
47 WATER ST STE 202
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 608-5202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mystic Services, LLC's NPI number?

The NPI number for Mystic Services, LLC is 1720619364. It was assigned to this organization in the NPPES registry on February 2, 2020. The provider is doing business as Mystic Bridge to Wellness.

Where is Mystic Services, LLC located?

Mystic Services, LLC is located at 47 Water St Ste 202, Mystic, CT 06355. The listed phone number is (617) 416-0597.

What is Mystic Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mystic Services, LLC was last updated on February 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.