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Organization
MINDFUL ACTIONS, LLC
Active
Organization
MINDFUL ACTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J FEDERICI LMFT (OWNER/OPERATOR)
(860) 402-0394
Entity
Organization
Contact information
Practice address
185 SILAS DEANE HWY, SUITE # 320, WETHERSFIELD, CT 06109-1219
(860) 402-0394
Mailing address
185 SILAS DEANE HWY, SUITE # 320, WETHERSFIELD, CT 06109-1219
(860) 402-0394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
000684
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093080129
—
CT
Enumeration date
03/22/2012
Last updated
06/27/2016
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