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Organization
RENEWED MINDS COUNSELING CENTER LLC
Active
Organization
RENEWED MINDS COUNSELING CENTER LLC
Active
Other names
Erica Martinez
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA MARTINEZ LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 209-8945
Entity
Organization
Contact information
Practice address
33 COURT ST, NEW BRITAIN, CT 06051-2211
(860) 612-8613
Mailing address
115 WEBSTER CT, NEWINGTON, CT 06111-5124
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008064335
—
CT
01
—
12802445
CAQH
CT
01
—
5102893
CIGNA
CT
Enumeration date
09/14/2018
Last updated
09/14/2018
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