Organization
DIVINE MIND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALYN JONES LCSW (MEMBER/MANAGER)
(860) 333-0243
Entity
Organization
Contact information
Practice address
516 VAUXHALL ST STE 101, NEW LONDON, CT 06320-2609
(860) 333-0243
Mailing address
12 GIOVANNI DR, WATERFORD, CT 06385-1725
(860) 235-8047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
12/30/2025
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