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Organization
PEACEFUL MIND BEHAVIORAL HEALTH & WELLNESS, LLC
Active
Organization
PEACEFUL MIND BEHAVIORAL HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN BOUCHARD (MANAGER)
(860) 965-5306
Entity
Organization
Contact information
Practice address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 281-2280
Mailing address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 281-2280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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