Organization
WISE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORAIDE MARIANA BATISTA LPC (OWNER)
(860) 249-0347
Entity
Organization
Contact information
Practice address
12 ROOSEVELT AVE STE 203, MYSTIC, CT 06355-2842
(860) 249-0347
Mailing address
12 ROOSEVELT AVE STE 203, MYSTIC, CT 06355-2842
(860) 249-0347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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