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Organization
MINDFULLYME MENTAL HEALTH PLLC
Active
Organization
MINDFULLYME MENTAL HEALTH PLLC
Active
Other names
MindFullyMe Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE IVANA STEVENS (OWNER)
(203) 682-5278
Entity
Organization
Contact information
Practice address
2505 MAIN ST STE 208, STRATFORD, CT 06615-5813
(203) 682-5278
Mailing address
268 POST RD STE 200, #164711, FAIRFIELD, CT 06824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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