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Organization
MINDSCAPES COUNSELING PLLC
Active
Organization
MINDSCAPES COUNSELING PLLC
Active
Parent organization
REFRESH MENTAL HEALTH
Other names
Tides of Mind Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
REFRESH MENTAL HEALTH
Authorized official
ELLIOT RICHELSON M.D. (PRESIDENT, SECRETARY, AND TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
230 FROST RD UNIT B, WATERBURY, CT 06705-2154
(203) 819-0789
Mailing address
230 FROST RD UNIT B, WATERBURY, CT 06705-2154
(203) 768-4427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008064
CT
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008056440
—
CT
Enumeration date
10/29/2014
Last updated
04/04/2023
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