Organization
MINDFULLYME MENTAL HEALTH PLLC
Active
Other names
MindFullyMe Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE IVANA STEVENS (OWNER)
(203) 682-5278
Entity
Organization
Contact information
Practice address
2505 MAIN ST STE 208, STRATFORD, CT 06615-5813
(203) 682-5278
Mailing address
268 POST RD STE 200, #164711, FAIRFIELD, CT 06824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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