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Organization

REFOSTER MINDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORGAN EVANS (CEO)
(860) 960-3530
Entity
Organization

Contact information

Practice address
70 W MAIN ST STE 301, NEW BRITAIN, CT 06051-4224
(860) 960-3530
Mailing address
128 KING ST, BRISTOL, CT 06010-5234

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
163WC0400X
Case Management Registered Nurse

Other

Enumeration date
03/17/2025
Last updated
03/25/2025
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