Organization
MIND BODY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA VALDISERRA LPC (OWNER)
(860) 373-2828
Entity
Organization
Contact information
Practice address
100 RIVERVIEW CTR STE 240, MIDDLETOWN, CT 06457-3489
(860) 373-2828
Mailing address
100 HUNTING HILL AVE, MIDDLETOWN, CT 06457-4314
(860) 373-2828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2019
Last updated
08/20/2025
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