Organization
THE M CLINIC, LLC
Active
Other names
Mbrace
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHIN KANSAL (MANAGING MEMBER)
(732) 216-4450
Entity
Organization
Contact information
Practice address
31 ALWYN LN, WESTON, CT 06883-1427
(732) 216-4450
Mailing address
31 ALWYN LN, WESTON, CT 06883-1427
(732) 216-4450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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