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Organization
MY MIND MATTERS
Active
Organization
MY MIND MATTERS
Active
Parent organization
BROWN GIRLS COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROWN GIRLS COUNSELING LLC
Authorized official
DR. KENIESHA JOHNSON LCSW (OWNER)
(860) 680-4240
Entity
Organization
Contact information
Practice address
34 JEROME AVE STE 116, BLOOMFIELD, CT 06002-2463
(860) 386-8034
Mailing address
34 JEROME AVE STE 116, BLOOMFIELD, CT 06002-2463
(860) 386-8034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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