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Organization

GENTLE MAMA COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MISCHA HADAWAY LCSW (OWNER)
(860) 816-7516
Entity
Organization

Contact information

Practice address
16 BRACE RD, WEST HARTFORD, CT 06107-1825
(860) 215-4710
Mailing address
63 FOX RUN CT, NEWINGTON, CT 06111-4584
(860) 816-7516

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist
103TH0100X
Health Service Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
133N00000X
Nutritionist
133V00000X
Registered Dietitian
363LP1700X
Perinatal Nurse Practitioner
364SP1700X
Perinatal Clinical Nurse Specialist

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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