Organization
MINDFUL MOMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN W LINCOLN LCSW (OWNER)
(860) 307-6745
Entity
Organization
Contact information
Practice address
30 DEPOT ST, COLLINSVILLE, CT 06019-4113
(860) 307-6745
Mailing address
44 DEERFIELD TRCE, BURLINGTON, CT 06013-1514
(860) 307-6745
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699133157
—
CT
Enumeration date
05/29/2020
Last updated
05/29/2020
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