# MOUNTAIN LAUREL MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225923147
- **Authorized official:** RACHAEL ANN MEDINA LMFT (OWNER)
- **Authorized official phone:** (203) 379-8121

## Contact information

- **Practice address:** 1224 MILL ST BLDG B, EAST BERLIN, CT 06023-1159
- **Practice address phone:** (860) 406-4894
- **Mailing address:** 118 CROWN STREET EXT, MERIDEN, CT 06450-7706
- **Mailing address phone:** (860) 406-4894
- **Mailing address fax:** (860) 406-4894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2025
- **Last updated:** 11/25/2025