Organization
ABSTRACT MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNVAL SCOTT PMHNP (OWNER)
(860) 816-2714
Entity
Organization
Contact information
Practice address
386 MAIN ST, MIDDLETOWN, CT 06457-3360
(203) 715-5520
Mailing address
386 MAIN ST, MIDDLETOWN, CT 06457-3360
(203) 715-5520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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