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Organization

THE HEALTHY MIND PSYCHIATRIC SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAH NAWAZ MD (MEDICAL DIRECTOR)
(203) 270-5575
Entity
Organization

Contact information

Practice address
900 STRAITS TPKE, SUITE D, MIDDLEBURY, CT 06762-2800
(203) 270-5575
(203) 883-0365
Mailing address
900 STRAITS TPKE, SUITE D, MIDDLEBURY, CT 06762-2800
(203) 270-5575
(203) 883-0365

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
039250
CT
101YM0800X
Mental Health Counselor
039250
CT
101YP2500X
Professional Counselor
039250
CT
104100000X
Social Worker
039250
CT
1041C0700X
Clinical Social Worker
039250
CT
2084P0800X
Psychiatry Physician
Primary
039250
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
039250
CT

Other

Enumeration date
02/09/2012
Last updated
11/17/2014
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